| Leyla Daneshdoost Md Pc | |
|
2937 Route 611 Unit 14 Tannersville PA 18372-6000 | |
| (570) 426-1413 | |
| (570) 426-1737 |
| Full Name | Leyla Daneshdoost Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2937 Route 611 Unit 14, Tannersville, Pennsylvania |
| Authorized Official Name and Position | Leyla Daneshdoost (OWNER) |
| Authorized Official Contact | 5704261413 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leyla Daneshdoost Md Pc 2937 Route 611 Unit 14 Tannersville PA 18372-6000 Ph: (570) 426-1413 | Leyla Daneshdoost Md Pc 2937 Route 611 Unit 14 Tannersville PA 18372-6000 Ph: (570) 426-1413 |
| NPI Number | 1053494716 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 07/27/2021 |
| Medicare PECOS PAC ID | 6204803901 |
|---|---|
| Medicare Enrollment ID | O20040913000870 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053494716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | MD034780E (Pennsylvania) | Primary |
| Provider Name | Leyla Daneshdoost |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1871501379 PECOS PAC ID: 8729055421 Enrollment ID: I20040915000025 |
| Provider Name | Homayoon Bigdeli |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1063523835 PECOS PAC ID: 5890762272 Enrollment ID: I20040915000037 |
Geisinger Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1575 State Rte 611, Tannersville, PA 18372 Phone: 570-619-5142 |