| Reza S Sazgari, MD | |
|
32227 Arlington Drive, Beverly Hills, MI 48025-4217 | |
| (248) 953-4703 | |
| (216) 255-5701 |
| Full Name | Reza S Sazgari |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 26 Years |
| Location | 32227 Arlington Drive, Beverly Hills, Michigan |
| 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 |
|---|---|---|---|
| 1568420040 | NPI | - | NPPES |
| 4930796 | Medicaid | MI | |
| 700F340300 | Other | MI | BCBS PROF GRP PIN |
| 2085R020X | Other | MI | TAXONOMY |
| 2905762 | Medicaid | OH | |
| I08753 | Other | MI | UPIN |
| 700E021910 | Other | MI | BCBS PROF GRP PIN |
| 1620742 | Medicaid | LA | |
| 383162435 | Other | MI | TAX ID COMMERCIAL INSURANCE |
| RS074768 | Other | MI | STATE LICENSE |
| 700E021830 | Other | MI | BCBS PROF GRP PIN |
| 4769421 | Medicaid | MI | |
| 5968608 | Other | MI | AETNA |
| P00433250 | Other | MI | GBA PALMETTO RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 4301074768 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Healthcare | Owosso, MI | Hospital |
| Southeast Michigan Surgical Hospital Llc | Warren, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jawad A Shah, Md Pc | 5799779633 | 71 |
| Basha Diagnostics P C | 5890681746 | 20 |
| Prime Radiology Consultants Pc | 7416485040 | 58 |
| Entity Name | Basha Diagnostics P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770693798 PECOS PAC ID: 5890681746 Enrollment ID: O20040226000460 |
| Entity Name | Michigan Radiology Institute Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891230900 PECOS PAC ID: 3779867874 Enrollment ID: O20170309002492 |
| Entity Name | Prime Radiology Consultants Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811723679 PECOS PAC ID: 7416485040 Enrollment ID: O20250207002589 |
| Mailing Address | Practice Location Address |
|---|---|
| Reza S Sazgari, MD 23625 Commerce Park, Ste 204, Beachwood, OH 44122 Ph: (216) 255-5700 | Reza S Sazgari, MD 32227 Arlington Drive, Beverly Hills, MI 48025-4217 Ph: (248) 953-4703 |