| Dr Mahtab Tehrani, MD | |
|
4301 W Markham St, Room S4/05, Little Rock, AR 72205-7101 | |
| (501) 686-5603 | |
| Not Available |
| Full Name | Dr Mahtab Tehrani |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 29 Years |
| Location | 4301 W Markham St, Little Rock, Arkansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356527360 | NPI | - | NPPES |
| 174687001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZN0500X | Pathology - Neuropathology | 236331 (New York) | Primary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 236331 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Inova Fair Oaks Hospital | Fairfax, VA | Hospital |
| Inova Loudoun Hospital | Leesburg, VA | Hospital |
| Inova Alexandria Hospital | Alexandria, VA | Hospital |
| Inova Fairfax Hospital | Falls church, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Inova Health Care Services - Pathology | 8426241647 | 43 |
| Inova Health Care Services - Pathology | 8426241647 | 43 |
| Entity Name | Inova Health Care Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20040102000644 |
| Entity Name | Inova Health Care Services - Pathology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427369578 PECOS PAC ID: 8426241647 Enrollment ID: O20101020001195 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mahtab Tehrani, MD 4301 W Markham St, Room S4/05, Little Rock, AR 72205-7101 Ph: (501) 686-5603 | Dr Mahtab Tehrani, MD 4301 W Markham St, Room S4/05, Little Rock, AR 72205-7101 Ph: (501) 686-5603 |
Dr. Larry Nicholas Cossey, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 10810 Executive Center Dr, Suite 100, Little Rock, AR 72211 Phone: 501-604-2695 | |
Hal Eugene Palmer, Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Lile Ct, Suite 101, Little Rock, AR 72205 Phone: 501-225-7711 Fax: 501-225-7108 | |
Dr. Susan Alynn Kemp, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 602 N Monroe St, Little Rock, AR 72205 Phone: 501-414-9810 | |
Neslihan Cetin, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000 | |
Ms. Stephen Eric Sturdivant, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1 Saint Vincent Cir, Little Rock, AR 72205 Phone: 501-663-4116 Fax: 501-663-4301 | |
Bradley Fogel, D.O. Pathology Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000 | |
Dr. Nathan Edward Lee, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 517, Little Rock, AR 72205 Phone: 501-686-5356 |