| Shahzad Mohammed Azad, PT | |
|
17061 Main St, Hesperia, CA 92345-6067 | |
| (760) 956-4126 | |
| Not Available |
| Full Name | Shahzad Mohammed Azad |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 17061 Main St, Hesperia, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912212697 | NPI | - | NPPES |
| EP927Z | Other | CA | TPAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 36727 (California) | Primary |
| Provider Name | Providence Medical Foundation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
| Mailing Address | Practice Location Address |
|---|---|
| Shahzad Mohammed Azad, PT 17061 Main St, Hesperia, CA 92345-6067 Ph: (760) 956-4126 | Shahzad Mohammed Azad, PT 17061 Main St, Hesperia, CA 92345-6067 Ph: (760) 956-4126 |
Franco Alvarez, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15235 Main St, Hesperia, CA 92345 Phone: 760-949-3388 | |
Dr. Michael Anthony Parrish, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15235 Main St, Hesperia, CA 92345 Phone: 760-949-3388 Fax: 760-949-2262 | |
Mr. James Christiansen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17095 Main St, Hesperia, CA 92345 Phone: 760-241-6666 Fax: 760-241-7575 | |
Ms. Daphne Dotterrer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15235 Main St, Hesperia, CA 92345 Phone: 760-949-3388 Fax: 760-949-2262 | |
Mrs. Stella Dejesa Mendoza, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15235 Main St, Hesperia, CA 92345 Phone: 760-949-3388 Fax: 760-949-2262 | |
Mr. Li-hsueh Chen, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11535 Balsam Ave, Hesperia, CA 92345 Phone: 631-520-8460 |