| Mandana Shahbazi, MD | |
|
25 Main Street, Suite 200, Reisterstown, MD 21136 | |
| (410) 526-8310 | |
| (410) 526-8316 |
| Full Name | Mandana Shahbazi |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 25 Main Street, Reisterstown, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558331124 | NPI | - | NPPES |
| 408809300 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0063534 (Maryland) | Primary |
| Entity Name | Greater Baltimore Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891855763 PECOS PAC ID: 1759276975 Enrollment ID: O20040217000852 |
| Mailing Address | Practice Location Address |
|---|---|
| Mandana Shahbazi, MD 25 Main Street, Suite 200, Reisterstown, MD 21136 Ph: (410) 526-8310 | Mandana Shahbazi, MD 25 Main Street, Suite 200, Reisterstown, MD 21136 Ph: (410) 526-8310 |
Wendie Katrina Grader-beck, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 28 Farm Gate Way, Reisterstown, MD 21136 Phone: 443-513-0137 | |
Raymond Miller, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 25 Main St, S 200, Reisterstown, MD 21136 Phone: 410-526-8310 Fax: 410-526-8316 | |
Dr. Jonathan D Kushner, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 114 Business Center Dr, Reisterstown, MD 21136 Phone: 410-833-2772 Fax: 410-526-4897 | |
Mini Abraham Panikar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 750 Main St Ste 205, Reisterstown, MD 21136 Phone: 410-526-3017 Fax: 410-584-1888 | |
Elyse Lynn Michelson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 750 Main St Ste 205, Reisterstown, MD 21136 Phone: 410-526-3041 Fax: 410-584-1890 | |
Claudio Ariel Levin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 750 Main St Ste 201, Reisterstown, MD 21136 Phone: 410-526-3053 Fax: 410-584-2240 | |
Nicole Michael, PA-C Internal Medicine Medicare: Medicare Enrolled Practice Location: 114 Business Center Dr, Reisterstown, MD 21136 Phone: 410-833-2772 |