DR. SHAHRAM AHMADZADEH (NPI# 1265489504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265489504 |
| Entity Type | Individual |
| Full Name | DR. SHAHRAM AHMADZADEH |
| Credential | M.D. |
| Practice Address |
2030 Stephenson Ave Sw Roanoke VA 24014-1664 |
| Mailing Address |
2602 Franklin Rd Sw Roanoke VA 24014-1010 |
| Practice Telephone | 5409046170 |
| Practice Fax Number | 5409046177 |
| Mailing Telephone | 5403441400 |
| Mailing Fax Number | 5403447133 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2016-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
0101240314 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
2030 STEPHENSON AVE SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24014-1664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518918648 | Ryan Dale Evans | Internal Medicine | 2030 Stephenson Ave Sw, Roanoke, VA 24014-1664 | 2006-05-13 |
| 1316468374 | Fsc Anesthesia LLC | Anesthesiology | 2030 Stephenson Ave Sw, Roanoke, VA 24014-1664 | 2017-06-29 |
| 1174067912 | Fairlawn Surgery Center LLC | Anesthesiology | 2030 Stephenson Ave Sw, Roanoke, VA 24014-1664 | 2016-12-13 |
| 1770802555 | Fairlawn Surgery Center, LLC | Clinic/Center | 2030 Stephenson Ave Sw, Roanoke, VA 24014-1664 | 2010-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558602 | Irene Pace Seidman | Pharmacist | 3350 Clearbrook Village Ln, Roanoke, VA 24014 | 2020-11-04 |
| 1720617970 | Mounica Reddy Thootkur | Student in an Organized Health Care Education/Training Program | 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 | 2020-04-08 |
| 1326675422 | Bharath Muppala | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2020-03-26 |
| 1235629239 | Sanjeeb Sudarshan Bhandari | Student in an Organized Health Care Education/Training Program | 1906 Bellview Ave Se, Roanoke, VA 24014 | 2018-05-15 |
| 1104325778 | Vera J. Short | Registered Nurse | 3167 Huffman Ln, Roanoke, VA 24014 | 2018-02-08 |
| 1770001380 | Michael Alan Phillips I | Social Worker | 2017 Jefferson Street, Roanoke, VA 24014 | 2017-09-03 |
| 1306362884 | Sara Alicia Guasch | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2017-08-16 |
| 1790212256 | Pouya Mafi | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 | 2017-05-16 |
| 1790222867 | Mara Cate | Physician Assistant | 523 Arbuttus Ave, Roanoke, VA 24014 | 2017-01-26 |
| 1508314634 | Dknl Enterprises, Inc. | Non-emergency Medical Transport (VAN) | 3629 Franklin Rd Sw Suite 205b, Roanoke, VA 24014 | 2016-09-19 |
| Find all providers in zip 24014 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316416522 | Southwest Virginia Nephrology LLC | Internal Medicine | 4806 Pleasant Hill Dr Ste 102, Roanoke, VA 24018-3440 | 2018-11-16 |
| 1518918648 | Ryan Dale Evans | Internal Medicine | 2030 Stephenson Ave Sw, Roanoke, VA 24014-1664 | 2006-05-13 |
| 1437157633 | Fletcher G Matthews | Internal Medicine | 4806 Pleasant Hill Dr, Suite 102, Roanoke, VA 24018-3441 | 2005-07-12 |
| 1871988386 | Dennis Hu | Internal Medicine | 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 | 2015-04-01 |
| 1568855427 | Southwest Virginia Nephrology Medicine, PC | Internal Medicine | 4806 Pleasant Hill Dr, Suite 102, Roanoke, VA 24018-3441 | 2015-03-16 |
| 1750526075 | Rebecca D Hughes | Internal Medicine | 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 | 2008-12-16 |
| 1053436923 | Rebin Thomas Titus | Internal Medicine | 2602 Franklin Rd Sw, Roanoke, VA 24014 | 2007-03-20 |
| 1114983681 | Debra C. Dooley | Internal Medicine | 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 | 2006-04-25 |
| 1568447704 | Vicky Kelley | Internal Medicine | 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 | 2005-12-09 |
| 1528042199 | Kathy M Cavanaugh | Internal Medicine | 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 | 2005-12-06 |
| Find all providers in ROANOKE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.