| Sean Shahzad Dailami-pour, MD | |
|
116 Hayden Street, Belzoni, MS 39038 | |
| (662) 247-1252 | |
| (662) 247-3865 |
| Full Name | Sean Shahzad Dailami-pour |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 116 Hayden Street, Belzoni, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689731606 | NPI | - | NPPES |
| 00124063 | Medicaid | MS | |
| 0124063 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 17099 (Mississippi) | Primary |
| Entity Name | Pontotoc Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821103516 PECOS PAC ID: 6002895356 Enrollment ID: O20040719001336 |
| Entity Name | Baptist Medical Center - Yazoo, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619918075 PECOS PAC ID: 5799850376 Enrollment ID: O20080815000433 |
| Entity Name | Correct Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20131122000662 |
| Mailing Address | Practice Location Address |
|---|---|
| Sean Shahzad Dailami-pour, MD 116 Hayden St, Belzoni, MS 39038 Ph: (601) 859-5213 | Sean Shahzad Dailami-pour, MD 116 Hayden Street, Belzoni, MS 39038 Ph: (662) 247-1252 |
Daisy Marie Thomas, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Ccc Road, Belzoni, MS 39038 Phone: 662-247-3831 | |
Baylee Richardson, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 107 Church St, Belzoni, MS 39038 Phone: 662-247-2105 Fax: 662-247-4849 |