| Shaden Fawzi Mohammad, MD | |
|
3600 Minnesota Dr Ste 800, Edina, MN 55435-7915 | |
| (952) 595-1301 | |
| (612) 294-4903 |
| Full Name | Shaden Fawzi Mohammad |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 21 Years |
| Location | 3600 Minnesota Dr Ste 800, Edina, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235370800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 323985 (Louisiana) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | A108731 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Claiborne Memorial Medical Center | Homer, LA | Hospital |
| Abington Memorial Hospital | Abington, PA | Hospital |
| Metro Health Hospital | Wyoming, MI | Hospital |
| Gettysburg Hospital | Gettysburg, PA | Hospital |
| Eisenhower Medical Center | Rancho mirage, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| United Memorial Medical Center | 0547259376 | 211 |
| Palm Desert Radiology Medical Group Inc | 0749173789 | 121 |
| Regents Of The University Of California | 3577476761 | 1890 |
| Kern County Hospital Authority | 4688964521 | 221 |
| Virtual Radiologic Professionals Of California Pa | 7719989342 | 57 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
| Entity Name | County Of Los Angeles |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218 |
| Entity Name | Regents Of The University Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558463927 PECOS PAC ID: 3577476761 Enrollment ID: O20040107000584 |
| Entity Name | Palm Desert Radiology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124079868 PECOS PAC ID: 0749173789 Enrollment ID: O20040204000599 |
| Entity Name | Claremont Imaging Associates A Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619068921 PECOS PAC ID: 9133170442 Enrollment ID: O20050203000703 |
| Entity Name | Virtual Radiologic Professionals Of California Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881792166 PECOS PAC ID: 7719989342 Enrollment ID: O20070209000351 |
| Entity Name | Radiology Alliance Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861478489 PECOS PAC ID: 1850280470 Enrollment ID: O20130603000012 |
| Entity Name | Pontchartrain Diagnostic Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760734685 PECOS PAC ID: 1951552900 Enrollment ID: O20150819008726 |
| Entity Name | Kern County Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376623538 PECOS PAC ID: 4688964521 Enrollment ID: O20160915002690 |
| Entity Name | Icahn School Of Medicine At Mount Sinai |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619221686 PECOS PAC ID: 8224282926 Enrollment ID: O20220121000589 |
| Entity Name | United Memorial Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669747085 PECOS PAC ID: 0547259376 Enrollment ID: O20220518001984 |
| Mailing Address | Practice Location Address |
|---|---|
| Shaden Fawzi Mohammad, MD 3600 Minnesota Dr Ste 800, Edina, MN 55435-7915 Ph: (952) 595-1301 | Shaden Fawzi Mohammad, MD 3600 Minnesota Dr Ste 800, Edina, MN 55435-7915 Ph: (952) 595-1301 |
Christopher Calixte, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1100 Fax: 612-294-4903 | |
Paul D Guisler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1301 Fax: 612-294-4903 | |
Rati Narendra Patel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1301 Fax: 612-294-4903 | |
Susanne S. Kim, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1301 Fax: 612-294-4903 | |
Gwendolyn Durgin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1301 Fax: 612-294-4903 | |
Dr. Larry Scott Kessler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1301 Fax: 612-294-4903 | |
Lawrence S. Liebman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr, Edina, MN 55435 Phone: 952-595-1301 Fax: 612-294-4903 |