REZA MAHRAM (NPI# 1891894838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891894838 |
| Entity Type | Individual |
| Full Name | REZA MAHRAM |
| Practice Address |
3114 Croasdaile Dr Suite 200 Durham NC 27705-2508 |
| Practice Telephone | 9194251565 |
| Practice Fax Number | 9194250478 |
| Mailing Telephone | 9194251565 |
| Mailing Fax Number | 9194250478 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2009-12-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | ME103889 | FL | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 054315 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 016386631C | 05 |
| Street Address |
3114 CROASDAILE DR SUITE 200 |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-2508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487696399 | Movva Navin Reddy | Emergency Medicine | 3114 Croasdaile Dr, Suite 200, Durham, NC 27705-2508 | 2006-06-12 |
| 1376863803 | Christen C Mckenna | Emergency Medicine | 3114 Croasdaile Dr, Suite 200, Durham, NC 27705-2508 | 2010-06-07 |
| 1699904011 | Adam Joseph Polozola | Emergency Medicine | 3114 Croasdaile Dr, Suite 200, Durham, NC 27705-2508 | 2009-07-07 |
| 1346445699 | Edward Cho-i Lin | Emergency Medicine | 3114 Croasdaile Dr, Suite 200, Durham, NC 27705-2508 | 2007-06-18 |
| 1114939048 | Harsha Vihab Hai Cole | Physician Assistant | 3114 Croasdaile Dr, Suite 200, Durham, NC 27705-2508 | 2006-08-12 |
| 1528076866 | Adam Christopher Weaver | Physician Assistant | 3114 Croasdaile Dr, Suite 200, Durham, NC 27705-2508 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758430 | Express Test Nc Pllc | Emergency Medicine | 110 Swift Ave, Durham, NC 27705-4880 | 2020-10-21 |
| 1386291185 | Maurice Andre Paquette II | Emergency Medicine | 2301 Erwin Rd # Dumc3096, Durham, NC 27705-4699 | 2019-08-26 |
| 1457779084 | Joshua Boyd | Emergency Medicine | Duke Regional Hospital, 643 N Roxboro Road, Durham, NC 27704 | 2014-04-01 |
| 1437491628 | Stephen Shaheen | Emergency Medicine | Dumc 3096 Division of Emergency Medicine, Durham, NC 27710-4699 | 2013-03-26 |
| 1194073767 | Brenda Jean Lanan | Emergency Medicine | 2301 Erwin Rd Ste 2600, Durham, NC 27705-4699 | 2012-08-29 |
| 1053587758 | Amy S Hurwitz | Emergency Medicine | 3643 Roxboro Road, Durham, NC 27704 | 2008-05-02 |
| 1053532861 | Jonathan Ho | Emergency Medicine | 1644 Snowmass Way, Durham, NC 27713 | 2007-05-01 |
| 1205977451 | James C. Mathews | Emergency Medicine | 3400 Wake Forest Road, Durham, NC 27713-4430 | 2007-02-09 |
| 1518018308 | Jennifer L. Swanson | Emergency Medicine | 5400 S. Miami Blvd., Suite 112, Durham, NC 27703-8465 | 2007-01-16 |
| 1982638342 | David A Michaels | Emergency Medicine | Duke University Hospital, Durham, NC 27710-0001 | 2006-07-10 |
| Find all providers in DURHAM | ||||
Please comment or provide details below to improve the information on REZA MAHRAM.
| 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.