| Dr Mohammad Entezari Taher, MD | |
|
212 S 1100 E, American Fork, UT 84003-2829 | |
| (801) 763-0901 | |
| (801) 763-0903 |
| Full Name | Dr Mohammad Entezari Taher |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 31 Years |
| Location | 212 S 1100 E, American Fork, Utah |
| 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 |
|---|---|---|---|
| 1992762918 | NPI | - | NPPES |
| 119464000 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 7015A (Wyoming) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 3445947-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| American Fork Hospital | American fork, UT | Hospital |
| Utah Valley Hospital | Provo, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Neurological Associates Llc | 1153306360 | 5 |
| Entity Name | Neurological Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912963372 PECOS PAC ID: 1153306360 Enrollment ID: O20040825000281 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mohammad Entezari Taher, MD 212 S 1100 E, American Fork, UT 84003-2829 Ph: (801) 763-0901 | Dr Mohammad Entezari Taher, MD 212 S 1100 E, American Fork, UT 84003-2829 Ph: (801) 763-0901 |
Ludmil K Manov, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 21 N 490 W, American Fork, UT 84003 Phone: 801-642-2396 Fax: 801-642-2496 | |
Dr. Thu A Nguyen, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1175 E 50 S, Suite 161, American Fork, UT 84003 Phone: 801-492-5992 Fax: 801-812-5439 | |
Christopher Jay Reynolds, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 52 N 1100 E, American Fork, UT 84003 Phone: 801-763-0901 Fax: 801-763-0903 |