| Dr Mehran Mirkazemi, DO | |
|
455 E Thousand Oaks Blvd Ste 106, Thousand Oaks, CA 91360-5877 | |
| (805) 908-6552 | |
| (805) 365-4115 |
| Full Name | Dr Mehran Mirkazemi |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 31 Years |
| Location | 455 E Thousand Oaks Blvd Ste 106, Thousand Oaks, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811967268 | NPI | - | NPPES |
| 4406640 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 20A24169 (California) | Primary |
| 174400000X | Specialist | 5101013208 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Home Health | Madison heights, MI | Home health agency |
| Beaumont Hospital - Taylor | Taylor, MI | Hospital |
| Beaumont Hospital - Dearborn | Dearborn, MI | Hospital |
| Beaumont Hospital - Wayne | Wayne, MI | Hospital |
| Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
| Entity Name | Mehran Mirkazemi, D.o. Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245412170 PECOS PAC ID: 5890878094 Enrollment ID: O20080212000059 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mehran Mirkazemi, DO 455 E Thousand Oaks Blvd Ste 106, Thousand Oaks, CA 91360-5877 Ph: (805) 908-6552 | Dr Mehran Mirkazemi, DO 455 E Thousand Oaks Blvd Ste 106, Thousand Oaks, CA 91360-5877 Ph: (805) 908-6552 |
Dr. Tom F Measles, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2190 Lynn Rd, Ste 320, Thousand Oaks, CA 91360 Phone: 805-370-5444 Fax: 805-370-5515 | |
Nikita Mukesh Shah, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 425 Haaland Dr Ste 101, Thousand Oaks, CA 91361 Phone: 805-496-2949 | |
Mark D Suski, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2166 N Moorpark Road, Suite 102, Thousand Oaks, CA 91360 Phone: 805-494-3330 Fax: 805-494-1255 | |
Dr. Amir-hossein Mehran, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 227 W Janss Rd Ste 320, Thousand Oaks, CA 91360 Phone: 805-379-9796 Fax: 805-379-6700 | |
Dr. Manabu Fujita, M.D., PH.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 555 Marin St, Suite 210, Thousand Oaks, CA 91360 Phone: 805-497-7785 Fax: 805-497-7728 | |
Trung D Bui, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2220 Lynn Rd, 102, Thousand Oaks, CA 91360 Phone: 805-496-9727 Fax: 805-496-9148 | |
Mr. Ifeanyi Amuzie, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2230 Lynn Rd, Suite 310, Thousand Oaks, CA 91360 Phone: 805-371-0647 Fax: 805-371-0649 |