| Seyed Sahand Banisadr, MD | |
| 1735 S Public Rd Ste 100, Lafayette, CO 80026-7093 | |
| (303) 665-3036 | |
| (303) 665-3397 | 
| Full Name | Seyed Sahand Banisadr | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 1735 S Public Rd Ste 100, Lafayette, Colorado | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1871013656 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 57.030449 (Ohio) | Secondary | 
| 208000000X | Pediatrics | DR0069674 (Colorado) | Primary | 
| Entity Name | Clinica Campesina Family Health Services | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1225025406 PECOS PAC ID: 7315850484 Enrollment ID: O20031106000276 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Seyed Sahand Banisadr, MD 1735 S Public Rd Ste 203, Lafayette, CO 80026-7093 Ph: (303) 665-3036 | Seyed Sahand Banisadr, MD 1735 S Public Rd Ste 100, Lafayette, CO 80026-7093 Ph: (303) 665-3036 | 
| Tamara L Kusek, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 280 Exempla Cir, Lafayette, CO 80026 Phone: 303-338-4545 Fax: 720-536-7555 | |
| Adrienne B Cox,  Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 Exempla Cir, Neonatology Office, Lafayette, CO 80026 Phone: 303-338-4545 | |
| Carol Deborah Siegel Friefeld, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1735 S Public Rd Ste 100, Lafayette, CO 80026 Phone: 303-665-3036 | |
| Dr. Cynthia J Cirolla, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 280 Exempla Cir, Lafayette, CO 80026 Phone: 303-338-4545 | |
| Dr. Sarah C Morse, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 Exempla Cir, Lafayette, CO 80026 Phone: 303-338-4545 | |
| Dr. Nolan M Lassiter Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 Exempla Cir, Lafayette, CO 80026 Phone: 303-338-4545 | |
| Robin K Kitlowski, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 Exempla Cir, Emergency Room, Lafayette, CO 80026 Phone: 303-689-4444 Fax: 303-689-4669 |