| Javid J Javidan-nejad, MD | |
|
6620 Coyle Avenue, Suite 301, Carmichael, CA 95608-6337 | |
| (916) 961-2514 | |
| (916) 961-1182 |
| Full Name | Javid J Javidan-nejad |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 31 Years |
| Location | 6620 Coyle Avenue, Carmichael, California |
| 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 |
|---|---|---|---|
| 1679558605 | NPI | - | NPPES |
| 00A836580 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | A83658 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy San Juan Medical Center | Carmichael, CA | Hospital |
| Sutter Roseville Medical Center | Roseville, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Javidan Urology Inc | 5496028201 | 5 |
| Entity Name | Javidan Urology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174043129 PECOS PAC ID: 5496028201 Enrollment ID: O20170830000801 |
| Mailing Address | Practice Location Address |
|---|---|
| Javid J Javidan-nejad, MD 3400 Data Drive, Credentialing Department, Rancho Gordova, CA 95670-7956 Ph: (916) 734-5154 | Javid J Javidan-nejad, MD 6620 Coyle Avenue, Suite 301, Carmichael, CA 95608-6337 Ph: (916) 961-2514 |
Dr. Dennis Jung-min Lee, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 6555 Coyle Ave Ste 290, Carmichael, CA 95608 Phone: 916-961-2514 Fax: 916-961-0297 | |
Samuel To-hang Chan, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 6620 Coyle Ave, # 301, Carmichael, CA 95608 Phone: 916-961-2514 Fax: 916-961-0297 | |
Duojia Michelle Xu Cooney, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 6555 Coyle Ave Ste 290, Carmichael, CA 95608 Phone: 916-961-2514 Fax: 916-961-0297 | |
Udayshankar R Poonamallee, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 6555 Coyle Ave Ste 290, Carmichael, CA 95608 Phone: 916-961-2514 Fax: 916-961-0297 | |
Walter Edward Malhoski, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 2504 California Ave, Carmichael, CA 95608 Phone: 916-484-6535 Fax: 916-973-8915 |