| Sina Koochakzadeh, | |
|
2305 37th Ave Sw, Minot, ND 58701-7669 | |
| (701) 418-7530 | |
| (701) 418-7531 |
| Full Name | Sina Koochakzadeh |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 2305 37th Ave Sw, Minot, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154940674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | PT22874 (North Dakota) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Sina Koochakzadeh, Po Box 5010, Minot, ND 58702-5010 Ph: (701) 418-8000 | Sina Koochakzadeh, 2305 37th Ave Sw, Minot, ND 58701-7669 Ph: (701) 418-7530 |
Dr. Ray Fontenot, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 101 3rd Ave Sw, Minot, ND 58701 Phone: 701-857-5986 Fax: 701-857-5029 | |
Dr. Robert L Fischer, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 101 3rd Ave Sw, Minot, ND 58701 Phone: 701-857-5986 | |
Stephanie Rae Velimirovich, FNP Otolaryngology Medicare: Medicare Enrolled Practice Location: 2305 37th Ave Sw Ste 502, Minot, ND 58701 Phone: 701-418-7530 | |
Robert G Thomas, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2305 37th Ave Sw, Minot, ND 58701 Phone: 701-857-5000 |