| Nazanin I Khakpour, MD | |
|
12902 Magnolia Drive, Tampa, FL 33612 | |
| (888) 860-2778 | |
| (813) 745-6511 |
| Full Name | Nazanin I Khakpour |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 26 Years |
| Location | 12902 Magnolia Drive, Tampa, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548284169 | NPI | - | NPPES |
| 0106 | Other | MD | CAREFIRST REGIONAL |
| 2134681 | Other | MD | MDIPA |
| 252001 | Other | MD | KAISER |
| 408155200 | Medicaid | MD | |
| 64787501 | Other | MD | BLUE SHIELD |
| 95780 | Other | MD | GEISINGER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | ME100313 (Florida) | Secondary |
| 208600000X | Surgery | D63418 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc | 2264337021 | 1045 |
| Entity Name | H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306833595 PECOS PAC ID: 2264337021 Enrollment ID: O20031204000575 |
| Mailing Address | Practice Location Address |
|---|---|
| Nazanin I Khakpour, MD 12902 Magnolia Drive, Mod A, Tampa, FL 33612 Ph: (813) 745-3587 | Nazanin I Khakpour, MD 12902 Magnolia Drive, Tampa, FL 33612 Ph: (888) 860-2778 |
Dr. Michael Martin Wach, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 813-745-2916 | |
Dr. Ricardo Emmanuel Rendel, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 2 Tampa General Cir, Tampa, FL 33606 Phone: 813-821-8038 | |
Mr. Camilo Andres Trujillo, SURGICAL ASSISTANT Surgery Medicare: Not Enrolled in Medicare Practice Location: 7171 N Dale Mabry Hwy, Tampa, FL 33614 Phone: 813-932-2222 | |
Thomas J Herron, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Tampa General Cir, Tampa, FL 33606 Phone: 813-844-7968 | |
Marco Antonio Rajo Andrade, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6919 N Dale Mabry Hwy Ste 200, Tampa, FL 33614 Phone: 813-933-3324 Fax: 813-932-4357 | |
Brad L Johnson, MD Surgery Medicare: Medicare Enrolled Practice Location: 2 Tampa General Cir, Tampa, FL 33606 Phone: 813-974-2201 | |
Dr. Karl Armistead Illig, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Tampa General Cir, Usf Vascular Surgery Ste.300, Tampa, FL 33606 Phone: 813-259-0921 Fax: 813-259-0606 |