| Farid Zehtab, DO | |
|
6120 W Bell Rd, Suite 100, Glendale, AZ 85308-3781 | |
| (623) 512-4326 | |
| (623) 594-2252 |
| Full Name | Farid Zehtab |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 28 Years |
| Location | 6120 W Bell Rd, Glendale, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831155506 | NPI | - | NPPES |
| 883406 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 4078 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Abrazo West Campus | Goodyear, AZ | Hospital |
| Banner Estrella Medical Center | Phoenix, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwest Valley Surgical Associates Pllc | 5193014678 | 2 |
| Entity Name | City Of Hope Medical Group Of Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609026806 PECOS PAC ID: 2264593474 Enrollment ID: O20081205000793 |
| Entity Name | Southwest Valley Surgical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528413929 PECOS PAC ID: 5193014678 Enrollment ID: O20160523002720 |
| Mailing Address | Practice Location Address |
|---|---|
| Farid Zehtab, DO 6120 W Bell Rd, Ste 130, Glendale, AZ 85308-3782 Ph: (623) 512-4326 | Farid Zehtab, DO 6120 W Bell Rd, Suite 100, Glendale, AZ 85308-3781 Ph: (623) 512-4326 |
Joseph S Janik, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 5310 W Thunderbird Rd, Suite 110, Glendale, AZ 85306 Phone: 602-865-4065 Fax: 602-865-6100 | |
Layne C. Sandridge, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 18700 N 64th Dr Ste 105a, Glendale, AZ 85308 Phone: 623-688-5075 Fax: 623-688-5075 | |
Sivakami Brenda Moorthy, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 5757 W Thunderbird Rd, E351, Glendale, AZ 85306 Phone: 602-374-3440 Fax: 602-374-3441 | |
Dr. Lannery Sioeli Lauvao, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 18555 N 79th Ave Ste B101, Glendale, AZ 85308 Phone: 623-512-4326 Fax: 623-594-2252 | |
Dr. Emily Welker, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5810 W Beverly Ln, Glendale, AZ 85306 Phone: 623-312-3000 Fax: 623-312-3060 | |
Karthik Raghavan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5700 W Olive Ave Ste 106, Glendale, AZ 85302 Phone: 623-377-7011 Fax: 623-344-8353 | |
Ronald L. Bauer, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 6320 W Union Hills Dr Ste 1600b, Glendale, AZ 85308 Phone: 602-277-4868 Fax: 602-230-9350 |