Shaghayegh Khayambashi, MD in Indianapolis, IN - Student in an Organized Health Care Education/Training Program

Shaghayegh Khayambashi, MD - Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Shaghayegh Khayambashi, MD is a Student In An Organized Health Care Education/training Program physician based in Indianapolis, Indiana. Shaghayegh Khayambashi is licensed to practice in Indiana (license number 11017774A) and her current practice location is 541 Clinical Dr Rm Cl370, Indianapolis, Indiana. She can be reached at her office (for appointments etc.) via phone at (317) 274-7177.

NPI number for Shaghayegh Khayambashi is 1750661526 and her current mailing address is 541 Clinical Dr Rm Cl370, Indianapolis, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750661526.

Contact Information

	Shaghayegh Khayambashi, MD
	541 Clinical Dr Rm Cl370, Indianapolis, IN 46202-5233
	(317) 274-7177
	(317) 274-7792

Map and Direction

Physician's Profile

Full Name	Shaghayegh Khayambashi
Gender	Female
Speciality	Student In An Organized Health Care Education/training Program
Location	541 Clinical Dr Rm Cl370, Indianapolis, Indiana
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1750661526
Provider Enumeration Date: 08/24/2011
Last Update Date: 06/14/2014

Medical Identifiers

Medical identifiers for Shaghayegh Khayambashi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750661526	NPI	-	NPPES
11017774A	Other	IN	MEDICAL RESIDENCY PERMIT
R72516	Other	AZ	TRAINING PERMIT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	R72516 (Arizona)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	11017774A (Indiana)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shaghayegh Khayambashi is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shaghayegh Khayambashi, MD 541 Clinical Dr Rm Cl370, Indianapolis, IN 46202-5233 Ph: (317) 274-7177	Shaghayegh Khayambashi, MD 541 Clinical Dr Rm Cl370, Indianapolis, IN 46202-5233 Ph: (317) 274-7177