| Dr Mohammed Khorshed Alam Mazumder, MD | |
|
2475 E 22nd St Ste 120, Cleveland, OH 44115-3221 | |
| (216) 431-1500 | |
| (216) 431-7701 |
| Full Name | Dr Mohammed Khorshed Alam Mazumder |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 29 Years |
| Location | 2475 E 22nd St Ste 120, Cleveland, Ohio |
| 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 |
|---|---|---|---|
| 1891935250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 35.123582 (Ohio) | Primary |
| 207RG0100X | Internal Medicine - Gastroenterology | 250908 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uh Regional Hospitals | Richmond heights, OH | Hospital |
| University Hospitals Ahuja Medical Center | Beachwood, OH | Hospital |
| University Hospitals Of Cleveland | Cleveland, OH | Hospital |
| Uh Conneaut Medical Center | Conneaut, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Primary Care Practices Inc | 3072417534 | 972 |
| Entity Name | University Primary Care Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767 |
| Entity Name | Outreach Professional Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134119829 PECOS PAC ID: 1153226444 Enrollment ID: O20031201000204 |
| Entity Name | Licking Memorial Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326072265 PECOS PAC ID: 6204740731 Enrollment ID: O20031203000131 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mohammed Khorshed Alam Mazumder, MD Po Box 932127, Cleveland, OH 44193-0008 Ph: (216) 431-1500 | Dr Mohammed Khorshed Alam Mazumder, MD 2475 E 22nd St Ste 120, Cleveland, OH 44115-3221 Ph: (216) 431-1500 |
Amir Razavi, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-7800 | |
Sana Hasan, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195 Phone: 330-721-5700 | |
Laura Ferreira Provenzano, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave # Q7, Cleveland, OH 44195 Phone: 216-445-4926 Fax: 216-444-9378 | |
Catherine Frakes Vozzo, DO Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-444-4444 Fax: 216-445-6290 | |
Tarek Ashour, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave # Q7, Cleveland, OH 44195 Phone: 216-444-5040 | |
Mrs. Efewongbe Benedicta Oleghe, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2351 E 22nd Street, St Vincent's Charity Medical Center, Cleveland, OH 44115 Phone: 216-363-2725 | |
Dr. Krupa Parikh, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-7800 |