| Farid Frederick Manshadi, MD | |
|
36 W Park Ln, Waterloo, IA 50701-5178 | |
| (319) 234-0109 | |
| Not Available |
| Full Name | Farid Frederick Manshadi |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 40 Years |
| Location | 36 W Park Ln, Waterloo, Iowa |
| 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 |
|---|---|---|---|
| 1033197165 | NPI | - | NPPES |
| 250004438 | Other | IA | RR MEDICARE |
| 044982 | Other | IA | BC/BS |
| A006219 | Other | IA | CHAMPUS |
| 0298216 | Medicaid | IA | |
| 42137207602 | Other | IA | JOHN DEERE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 27493 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Allen Hospital | Waterloo, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allen Memorial Hospital Corporation | 4284546045 | 126 |
| Entity Name | Allen Memorial Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891772927 PECOS PAC ID: 4284546045 Enrollment ID: O20031211000480 |
| Entity Name | St Lukes Methodist Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073553939 PECOS PAC ID: 6608786751 Enrollment ID: O20040204000942 |
| Mailing Address | Practice Location Address |
|---|---|
| Farid Frederick Manshadi, MD 36 W Park Ln, Waterloo, IA 50701-5178 Ph: (319) 234-0109 | Farid Frederick Manshadi, MD 36 W Park Ln, Waterloo, IA 50701-5178 Ph: (319) 234-0109 |
Md Alal Uddin, M.D Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3421 W 9th St, Waterloo, IA 50702 Phone: 319-272-8000 | |
Dr. Barbara J Malicka-rozek, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3421 W 9th St, Suite 100, Waterloo, IA 50702 Phone: 319-272-7469 Fax: 319-272-7868 | |
Dr. Joseph T. Nora, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3421 W 9th St, Suite 100, Waterloo, IA 50702 Phone: 319-272-7469 Fax: 319-272-7868 |