| Reza Mahram, | |
|
3114 Croasdaile Dr, Suite 200, Durham, NC 27705-2508 | |
| (919) 425-1565 | |
| (919) 425-0478 |
| Full Name | Reza Mahram |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 3114 Croasdaile Dr, Durham, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891894838 | NPI | - | NPPES |
| 016386631C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 054315 (Georgia) | Secondary |
| 207P00000X | Emergency Medicine | ME103889 (Florida) | Primary |
| Entity Name | Florida Emergency Physicians Kang And Associates Md Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811983752 PECOS PAC ID: 0143113878 Enrollment ID: O20040205000687 |
| Entity Name | Paragon Contracting Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20041207001148 |
| Entity Name | Paragon Emergency Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143 |
| Entity Name | Emergency Medicine Services Of Fl Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
| Mailing Address | Practice Location Address |
|---|---|
| Reza Mahram, 3114 Croasdaile Dr, Suite 200, Durham, NC 27705-2508 Ph: (919) 425-1565 | Reza Mahram, 3114 Croasdaile Dr, Suite 200, Durham, NC 27705-2508 Ph: (919) 425-1565 |
Dr. Michael Healy Ward, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 508 Fulton St, Durham, NC 27705 Phone: 919-286-0411 | |
Lydia Darlud Mitchell, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3643 N Roxboro St, Durham, NC 27704 Phone: 919-470-5345 | |
Rebecca Sara Rich, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3643 N Roxboro St, Durham, NC 27704 Phone: 919-470-5345 | |
Charles Gerardo, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: Duke University Medical Ctr, Durham, NC 27710 Phone: 919-620-4467 | |
Dr. Benjamin Louis Oshlag, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2301 Erwin Rd, Durham, NC 27705 Phone: 919-684-5537 Fax: 919-681-8521 | |
Joy Martin, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2100 Erwin Rd, Durham, NC 27710 Phone: 919-620-4467 | |
Jonathan Ho, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1644 Snowmass Way, Durham, NC 27713 Phone: 919-768-2298 |