| Dr Samaneh Bazel, MD | |
| 6501 Loisdale Court, Springfield, VA 22150-1885 | |
| (703) 922-1456 | |
| (703) 922-1111 | 
| Full Name | Dr Samaneh Bazel | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 6501 Loisdale Court, Springfield, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1366518680 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 0101240207 (Virginia) | Primary | 
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Samaneh Bazel, MD 2101 East Jefferson Street, Ppqa Medicare Compliance Unit 6 West, Rockville, MD 20852-4908 Ph: (301) 816-6660 | Dr Samaneh Bazel, MD 6501 Loisdale Court, Springfield, VA 22150-1885 Ph: (703) 922-1456 | 
| Dr. Catherine Michele Christie, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6501 Loisdale Court, Springfield, VA 22150 Phone: 703-922-1488 Fax: 703-922-1007 | |
| Jacqueline Kim Hoang, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5502 Backlick Rd, Springfield, VA 22151 Phone: 703-642-8306 Fax: 703-642-8342 | |
| Dr. Henry Donald Knox, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6115 Lorcom Ct, Springfield, VA 22152 Phone: 703-451-6450 Fax: 703-451-6450 | |
| Tiffany Lynne Meyer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6120 Brandon Ave, Suite 308, Springfield, VA 22150 Phone: 703-451-3333 Fax: 703-451-7219 | |
| Dr. Dorina Mirela Marshall, MD, PHD Pediatrics Medicare: Medicare Enrolled Practice Location: 5502 Backlick Rd, Springfield, VA 22151 Phone: 703-642-8306 | |
| Dr. Allison Parker Rodgers, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6120 Brandon Ave, Suite 308, Springfield, VA 22150 Phone: 703-451-3333 Fax: 703-451-7219 | |
| Douglas Wald, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6358 Springfield Plz, Springfield, VA 22150 Phone: 703-644-5437 |