| Mojtaba Mirzaei, MD, MPH | |
|
160 Robbins St, Waterbury, CT 06708-2652 | |
| (203) 573-7284 | |
| (203) 573-7031 |
| Full Name | Mojtaba Mirzaei |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 13 Years |
| Location | 160 Robbins St, Waterbury, Connecticut |
| 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 |
|---|---|---|---|
| 1841753225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 70250 (Connecticut) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uconn Health Waterbury Hospital | Waterbury, CT | Hospital |
| Yale-new Haven Hospital | New haven, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Medical Group Inc | 1254233836 | 1357 |
| Gaylord Hospital, Inc. | 1153224191 | 39 |
| Prospect Ct Medical Foundation Inc | 7416244496 | 287 |
| Entity Name | Northeast Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
| Entity Name | Gaylord Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730137753 PECOS PAC ID: 1153224191 Enrollment ID: O20040128000878 |
| Entity Name | Prospect Ct Medical Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144677568 PECOS PAC ID: 7416244496 Enrollment ID: O20160919001322 |
| Mailing Address | Practice Location Address |
|---|---|
| Mojtaba Mirzaei, MD, MPH 64 Robbins St, Waterbury, CT 06708-2613 Ph: (203) 573-6162 | Mojtaba Mirzaei, MD, MPH 160 Robbins St, Waterbury, CT 06708-2652 Ph: (203) 573-7284 |
Dr. Juan Fica, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1389 W Main St, Tower 2, Suite 320, Waterbury, CT 06708 Phone: 203-753-9313 Fax: 203-573-8976 |
Mrs. Kanthimathi Jegathesan, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2271 East Main Street, Waterbury, CT 06705 Phone: 203-753-4131 Fax: 203-753-6887 |
Robert J Mcdonald, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 170 Grandview Avenue, Waterbury, CT 06708 Phone: 203-759-3666 Fax: 203-759-3671 |
Dr. Lydia Aoun-barakat, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 140 Grandview Ave, Suite #l01, Waterbury, CT 06708 Phone: 203-574-4187 Fax: 203-591-1453 |
David G. Hill, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 170 Grandview Avenue, Waterbury, CT 06708 Phone: 203-759-3666 Fax: 203-759-3671 |
Hiba Zeid, Internal Medicine Medicare: Medicare Enrolled Practice Location: 160 Robbins St, Waterbury, CT 06708 Phone: 203-573-7284 |
Dr. Joseph D Scuderi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 56 Franklin St, Waterbury, CT 06706 Phone: 203-709-6000 |