| Dr Bassam Ibrahim Alzagatiti, MD | |
|
600 Coffee Rd, Modesto, CA 95355-4201 | |
| (209) 550-4785 | |
| Not Available |
| Full Name | Dr Bassam Ibrahim Alzagatiti |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 38 Years |
| Location | 600 Coffee Rd, Modesto, California |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831136738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | A56366 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tennova Health Care-cleveland | Cleveland, TN | Hospital |
| Memorial Medical Center | Modesto, CA | Hospital |
| Memorial Healthcare System, Inc | Chattanooga, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bradley Physician Services, Llc | 8123563392 | 76 |
| Sutter Valley Medical Foundation | 9830094515 | 2449 |
| Entity Name | Bradley Physician Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710727540 PECOS PAC ID: 8123563392 Enrollment ID: O20240711003004 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bassam Ibrahim Alzagatiti, MD Po Box 255228, Sacramento, CA 95865-5228 Ph: () - | Dr Bassam Ibrahim Alzagatiti, MD 600 Coffee Rd, Modesto, CA 95355-4201 Ph: (209) 550-4785 |
Jonathan Kistler, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1001 Needham St, Modesto, CA 95354 Phone: 209-569-0373 Fax: 209-529-8519 | |
Tonya F. Fuller, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-550-4785 | |
Kairav Rameshchandra Shah, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1524 Mchenry Ave Ste 445, Modesto, CA 95350 Phone: 209-571-1693 | |
Peter Edward Newsom, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1001 Needham St, Modesto, CA 95354 Phone: 209-569-0373 | |
Dr. Jaaneali Mehdi, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 1501 Claus Rd Ste F, Modesto, CA 95355 Phone: 095-576-3102 | |
Vinita Wadhwani, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1400 Celeste Drive, Crestwood Mannor, Modesto, CA 95355 Phone: 916-422-5856 Fax: 916-422-2307 | |
Nusrat Malik, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1501 Claus Rd, Dbhc, Modesto, CA 95355 Phone: 209-557-6300 |