| Dr Shifteh Vahidi, MD | |
|
1200 S Columbia Rd, Grand Forks, ND 58201 | |
| (701) 780-5000 | |
| (701) 780-4477 |
| Full Name | Dr Shifteh Vahidi |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 33 Years |
| Location | 1200 S Columbia Rd, Grand Forks, North Dakota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083973762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | PT15179 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Altru Hospital | Grand forks, ND | Hospital |
| Unity Medical Center | Grafton, ND | Hospital |
| North Valley Health Center | Warren, MN | Hospital |
| Lifecare Medical Center | Roseau, MN | Hospital |
| Pembina County Memorial Hospital | Cavalier, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Altru Health System | 1355251604 | 554 |
| Entity Name | Altru Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043309552 PECOS PAC ID: 1355251604 Enrollment ID: O20031111000714 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shifteh Vahidi, MD 2401 Demers Ave, Grand Forks, ND 58201 Ph: (701) 780-1891 | Dr Shifteh Vahidi, MD 1200 S Columbia Rd, Grand Forks, ND 58201 Ph: (701) 780-5000 |
Mary Ann Sens, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1301 N Columbia Rd, Grand Forks, ND 58202 Phone: 701-777-2561 | |
Heidi Ann Jess, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd- Altru Hospital, Grand Forks, ND 58201 Phone: 701-780-1561 Fax: 530-891-0134 | |
Leslie A Torgerson, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 | |
Yan Xiang Xia, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: Altru Hospital/health System, 1200 S. Columbia Road, Grand Forks, ND 58201 Phone: 701-780-5000 Fax: 607-735-4685 | |
Dr. Mark Alan Koponen, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 501 N Columbia Rd Stop 9037, Department Of Pathology, Grand Forks, ND 58203 Phone: 701-777-6172 Fax: 701-777-3108 | |
Kevin Tyler, DO Pathology Medicare: Accepting Medicare Assignments Practice Location: 1200 S. Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-6000 |