| Mr Rahman Ilkhanizadeh, MD | |
|
849 57th Street, Ste 801, Brooklyn, NY 11220-3797 | |
| (718) 768-3560 | |
| (212) 500-3328 |
| Full Name | Mr Rahman Ilkhanizadeh |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 52 Years |
| Location | 849 57th Street, Brooklyn, New York |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750300950 | NPI | - | NPPES |
| 00775553 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 146711 (New York) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 146711 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Multicare Medical Diagnostics Pc | 1052742350 | 4 |
| Mihail Medvedovsky Physician Pc | 3779474937 | 12 |
| Entity Name | Long Island Surgery P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790716546 PECOS PAC ID: 6901816842 Enrollment ID: O20060421000490 |
| Entity Name | Mihail Medvedovsky Physician Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942304001 PECOS PAC ID: 3779474937 Enrollment ID: O20101203000912 |
| Entity Name | Metropolitan Medical Practice Plan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306138383 PECOS PAC ID: 8022286384 Enrollment ID: O20110713000171 |
| Entity Name | Aristahealth Medical Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811257785 PECOS PAC ID: 3375708068 Enrollment ID: O20120702000359 |
| Entity Name | Ds Medical Diagnostics Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598259996 PECOS PAC ID: 8426488891 Enrollment ID: O20200427001074 |
| Entity Name | Multicare Medical Diagnostics Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184104903 PECOS PAC ID: 1052742350 Enrollment ID: O20200520000566 |
| Entity Name | Community Health Medical Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508534470 PECOS PAC ID: 7618353525 Enrollment ID: O20220929003297 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Rahman Ilkhanizadeh, MD 180 Old Westbury Rd, Old Westbury, NY 11568-1100 Ph: (718) 768-3560 | Mr Rahman Ilkhanizadeh, MD 849 57th Street, Ste 801, Brooklyn, NY 11220-3797 Ph: (718) 768-3560 |
Dr. Vivian Jolley Bea, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 506 6th St, Brooklyn, NY 11215 Phone: 718-780-3288 Fax: 718-780-3154 | |
Anukware Ketosugbo, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1143 Nostrand Ave, Brooklyn, NY 11225 Phone: 718-622-1301 Fax: 718-622-1367 | |
Dr. Alan R. Go, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 121 Dekalb Ave, Brooklyn, NY 11201 Phone: 718-250-6859 Fax: 718-250-6080 | |
Dr. Thomas Pritchard Mcintyre, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 451 Clarkson Ave, Brooklyn, NY 11203 Phone: 718-245-4145 | |
Radhakrishman Satheesan, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 921 49th St, Brooklyn, NY 11219 Phone: 718-283-8773 Fax: 718-283-8796 | |
Benjamin A Youdelman, M.D Surgery Medicare: Accepting Medicare Assignments Practice Location: 4802 10th Ave, Brooklyn, NY 11219 Phone: 718-283-7686 Fax: 718-635-7421 | |
Dilip Kumar Samantaray, M.D Surgery Medicare: Medicare Enrolled Practice Location: 760 Broadway, Brooklyn, NY 11206 Phone: 718-963-8000 |