| Soroush Rais-bahrami, MD | |
|
140 Charlois Blvd, Winston Salem, NC 27103-1522 | |
| (336) 716-4131 | |
| (336) 713-0328 |
| Full Name | Soroush Rais-bahrami |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 18 Years |
| Location | 140 Charlois Blvd, Winston Salem, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851660849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 33402 (Alabama) | Secondary |
| 208800000X | Urology | 2025-01614 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Alabama Hospital | Birmingham, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Alabama Health Services Foundation, Pc | 1951213107 | 2476 |
| Entity Name | University Of Alabama Health Services Foundation, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093768723 PECOS PAC ID: 1951213107 Enrollment ID: O20031105000261 |
| Entity Name | Health Care Authority For Baptist Health, An Affiliate Of Uabhs |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982653390 PECOS PAC ID: 8426076670 Enrollment ID: O20060220000538 |
| Mailing Address | Practice Location Address |
|---|---|
| Soroush Rais-bahrami, MD 100 Kimel Forest Dr, Winston Salem, NC 27103-6074 Ph: (336) 716-2255 | Soroush Rais-bahrami, MD 140 Charlois Blvd, Winston Salem, NC 27103-1522 Ph: (336) 716-4131 |
Dr. Oliver James Hart Iii, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 2010 Baldwin Ln, Winston Salem, NC 27103 Phone: 336-277-1717 Fax: 336-277-1718 | |
Dr. Lawrence Andrew Eskew, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-277-1717 Fax: 336-277-1718 | |
Steve James Hodges, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 140 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-716-2255 Fax: 336-716-9042 | |
Dr. Shuo Liu, MD Urology Medicare: Medicare Enrolled Practice Location: Department Of Urology Medical Center Boulevard, Winston Salem, NC 27157 Phone: 336-716-5253 | |
Majid Mirzazadeh, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 140 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-716-4131 Fax: 336-713-0328 | |
Dr. Connor Gregory Policastro, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 140 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-716-4131 Fax: 336-713-0328 | |
Dr. Kyle Scarberry, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 140 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-716-4131 Fax: 336-713-0328 |