| Dr Shabir Bhayani, MD | |
|
116 Interstate Pkwy Ste 32, Bradford, PA 16701 | |
| (814) 368-1020 | |
| (814) 368-1024 |
| Full Name | Dr Shabir Bhayani |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 116 Interstate Pkwy Ste 32, Bradford, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205834942 | NPI | - | NPPES |
| 0010983320003 | Medicaid | PA | |
| 200209173 | Other | NY | RAILROAD MEDICARE |
| 01123862 | Medicaid | NY | |
| 200007157 | Other | PA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | MD038317E (Pennsylvania) | Secondary |
| 207X00000X | Orthopaedic Surgery | 1728801 (New York) | Primary |
| Entity Name | Olean General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649296781 PECOS PAC ID: 9133111784 Enrollment ID: O20110202000149 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shabir Bhayani, MD 116 Interstate Pkwy Ste 32, Bradford, PA 16701-1036 Ph: (814) 368-1020 | Dr Shabir Bhayani, MD 116 Interstate Pkwy Ste 32, Bradford, PA 16701 Ph: (814) 368-1020 |
Asim Makhdom, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 195 Pleasant Street, Suite 5, Bradford, PA 16701 Phone: 814-362-5701 Fax: 814-362-5702 | |
Jonathan David Lechner, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 195 Pleasant St Unit 5, Bradford, PA 16701 Phone: 814-362-5701 Fax: 814-362-5702 | |
Donald Jack Deforno Jr., M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 700 South Ave, Bradford, PA 16701 Phone: 814-368-7066 |