| Mohammad Chelehmalzadeh, MD | |
|
320 East Main Street, Crosby, MN 56441 | |
| (218) 546-7000 | |
| (218) 546-4400 |
| Full Name | Mohammad Chelehmalzadeh |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine - Emergency Medical Services |
| Location | 320 East Main Street, Crosby, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902098460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MT187992 (Pennsylvania) | Secondary |
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 54701 (Connecticut) | Primary |
| Entity Name | Northeast Emergency Medicine Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982889598 PECOS PAC ID: 8729157797 Enrollment ID: O20080516000028 |
| Entity Name | Westport Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154672483 PECOS PAC ID: 4688826712 Enrollment ID: O20121218000225 |
| Entity Name | Emergency Physicians Of Connecticut Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902278906 PECOS PAC ID: 8820390214 Enrollment ID: O20151231000158 |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammad Chelehmalzadeh, MD 320 East Main Street, Crosby, MN 56441 Ph: (218) 546-7000 | Mohammad Chelehmalzadeh, MD 320 East Main Street, Crosby, MN 56441 Ph: (218) 546-7000 |
Kyle L Durgin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 320 East Main St, Crosby, MN 56441 Phone: 218-546-7000 Fax: 218-546-4400 | |
Clay D Schulte, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 318 E Main St, Crosby, MN 56441 Phone: 218-546-2502 Fax: 218-546-4402 | |
Dr. Thomas R. Lorenz, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 320 East Main Street, Crosby, MN 56441 Phone: 218-546-7000 Fax: 218-546-4400 |