| Iraj Forouzan-gandashmin, MD | |
| One Capital Way, Mfm Dept, Pennington, NJ 08534 | |
| (609) 537-7262 | |
| Not Available | 
| Full Name | Iraj Forouzan-gandashmin | 
|---|---|
| Gender | Male | 
| Speciality | Obstetrics & Gynecology - Maternal & Fetal Medicine | 
| Location | One Capital Way, Pennington, New Jersey | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1376500942 | NPI | - | NPPES | 
| 001106461 | Medicaid | PA | |
| 7545509 | Medicaid | NJ | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 25MA05962300 (New Jersey) | Secondary | 
| 207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | 25MA05962300 (New Jersey) | Primary | 
| Entity Name | Capital Health Medical Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1437516887 PECOS PAC ID: 7618264532 Enrollment ID: O20160921000449 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Iraj Forouzan-gandashmin, MD One Capital Way Mfm Dept, Pennington, NJ 08534 Ph: (609) 537-7262 | Iraj Forouzan-gandashmin, MD One Capital Way, Mfm Dept, Pennington, NJ 08534 Ph: (609) 537-7262 | 
| Dr. Elizabeth Lynn Mcdonnell, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1 Capital Way, Capital Health Medical Center - Hopewell, Pennington, NJ 08534 Phone: 800-637-2374 | |
| Dr. Gregg Giannina, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1 Capital Way, Pennington, NJ 08534 Phone: 609-537-7252 | |
| Dr. Joyce Varughese, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2 Capital Way Ste 356, Pennington, NJ 08534 Phone: 609-537-6000 Fax: 609-537-6002 | |
| Dr. Rachael Meredith Sampson, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1 Capital Way, Pennington, NJ 08534 Phone: 609-537-6069 | |
| Donald J Debrakeleer, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2 Capital Way Ste 407, Pennington, NJ 08534 Phone: 609-303-4460 Fax: 609-303-4461 | |
| Deena Elkafrawi, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1 Capital Way, Pennington, NJ 08534 Phone: 609-537-7252 |