| Dr Sara Khederzadeh, MD | |
|
500 University Dr, Hershey, PA 17033-2360 | |
| (800) 243-1455 | |
| Not Available |
| Full Name | Dr Sara Khederzadeh |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 500 University Dr, Hershey, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659952927 | NPI | - | NPPES |
| 124074600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME170559 (Florida) | Secondary |
| 207R00000X | Internal Medicine | MD490172 (Pennsylvania) | Primary |
| Entity Name | Orlando Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sara Khederzadeh, MD Po Box 858, Mc Ca410, Hershey, PA 17033-0858 Ph: (800) 243-1455 | Dr Sara Khederzadeh, MD 500 University Dr, Hershey, PA 17033-2360 Ph: (800) 243-1455 |
Nicole Swallow, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, H088, Hershey, PA 17033 Phone: 717-531-1692 | |
Sarah Whitney Kesterson, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 175-318-2467 Fax: 717-531-7741 | |
Moein Jafari, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-243-1455 | |
Karen Louise Krok, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-243-1455 Fax: 717-531-0061 | |
Joan Bartolomeo, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-243-1455 | |
James O Ballard, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-233-4082 | |
Candyce Heather Greene, MD, MPH, MSW Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-243-1455 |