| Reza Salman Roghani, | |
|
17351 Melford Blvd, Bowie, MD 20715-4457 | |
| (872) 231-3162 | |
| Not Available |
| Full Name | Reza Salman Roghani |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 17351 Melford Blvd, Bowie, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194493817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | D0102846 (Maryland) | Primary |
| Entity Name | Integrated Rehab Consultants Florida Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245700244 PECOS PAC ID: 4486997426 Enrollment ID: O20190515001526 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191209002247 |
| Mailing Address | Practice Location Address |
|---|---|
| Reza Salman Roghani, Po Box 22239, New York, NY 10087-0001 Ph: (702) 899-0595 | Reza Salman Roghani, 17351 Melford Blvd, Bowie, MD 20715-4457 Ph: (872) 231-3162 |
Daniel Reid, Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 17351 Melford Blvd, Bowie, MD 20715 Phone: 240-548-1300 | |
Vivek Raj, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 17351 Melford Blvd, Bowie, MD 20715 Phone: 240-548-1300 | |
Nicholette M. Martin, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 4000 Mitchellville Rd, Suite B322, Bowie, MD 20716 Phone: 301-860-0305 Fax: 301-860-0307 | |
Crystal Ivahna Leach, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 17351 Melford Blvd, Bowie, MD 20715 Phone: 240-548-1300 Fax: 240-548-1695 | |
Dr. Danielle Monique Simpson, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 17351 Melford Blvd, Bowie, MD 20715 Phone: 240-548-1300 |