| Dr Mustafa Mahdavy, MD | |
|
1117 E. Devonshire Ave. Department Of Pathology, Hemet, CA 92543 | |
| (985) 789-7994 | |
| (951) 765-4829 |
| Full Name | Dr Mustafa Mahdavy |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 31 Years |
| Location | 1117 E. Devonshire Ave. Department Of Pathology, Hemet, 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 |
|---|---|---|---|
| 1932296340 | NPI | - | NPPES |
| 1074730 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | A93215 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hemet Global Medical Center | Hemet, CA | Hospital |
| San Gorgonio Memorial Hospital | Banning, CA | Hospital |
| Entity Name | Mustafa Mahdavy Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467041442 PECOS PAC ID: 0840604880 Enrollment ID: O20210202002388 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mustafa Mahdavy, MD 1117 E. Devonshire Ave. Department Of Pathology, Hemet, CA 92543 Ph: (985) 789-7994 | Dr Mustafa Mahdavy, MD 1117 E. Devonshire Ave. Department Of Pathology, Hemet, CA 92543 Ph: (985) 789-7994 |
Steven Westbrook, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1117 E Devonshire Ave, Hemet, CA 92543 Phone: 951-925-6317 Fax: 951-765-4829 | |
Mildred Ramos, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1117 E Devonshire Ave, Hemet, CA 92543 Phone: 951-925-6317 Fax: 951-765-4829 | |
Alan Mare, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 1117 E Devonshire Ave, Hemet, CA 92543 Phone: 951-925-6317 Fax: 951-765-4829 |