Khadijeh Kadivar (NPI# 1881833853, PAC ID# 1951537331) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1881833853 |
| PAC ID by PECOS | 1951537331 |
| Professional Enrollment ID | I20131112002022 |
| Full Name | Khadijeh Kadivar |
| Organization Legal Name | UNIVERSITY RADIOLOGY GROUP PC |
| Address |
320 Calle Miramar Apt A Redondo Beach CA 90277-8800 |
| Phone Number | 7323900040 |
| Gender | F |
| Medical School | UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 6608868500 |
| Number of Group Practice Members | 146 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310039 | RARITAN BAY MEDICAL CENTER PERTH AMBOY DIVISION |
| 310074 | JERSEY CITY MEDICAL CENTER |
| 310073 | JERSEY SHORE UNIVERSITY MEDICAL CENTER |
| 310027 | TRINITAS REGIONAL MEDICAL CENTER |
| 310096 | SAINT MICHAEL'S MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 900 W Main St, Freehold, NJ 07728-2523 | 7324621900 | UNIVERSITY RADIOLOGY GROUP PC |
| 320 Calle Miramar, Apt A, Redondo Beach, CA 90277-8800 | 7323900040 | UNIVERSITY RADIOLOGY GROUP PC |
| Organization Legal Name | UNIVERSITY RADIOLOGY GROUP PC |
| Physicians | 41 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Denise Pettyjohn | Diagnostic Radiology | University Radiology Group PC | 6017 Forefront Ave, Frisco, TX 75034-7277 |
| Sara Elizabeth Venezia | Diagnostic Radiology | University Radiology Group PC | 900 W Main St, Freehold, NJ 07728-2523 |
| Jeffrey Dorr | Diagnostic Radiology | University Radiology Group PC | 14 Homer St, Apt 2, Brookline, MA 02445-6966 |
| Devang J Vasani | Diagnostic Radiology | University Radiology Group PC | 3822 River Rd, Point Pleasant Boro, NJ 08742-2067 |
| Levi O Sokol | Diagnostic Radiology | University Radiology Group PC | 45 E 89th St, Apt 20g, New York, NY 10128-1256 |
| Charles Yang | Diagnostic Radiology | University Radiology Group PC | 8710 51st Ave, Elmhurst, NY 11373-3908 |
| Patricia A Klass | Physician Assistant | University Radiology Group PC | 483 Cranbury Rd, East Brunswick, NJ 08816-3610 |
| Ling L Lam | Diagnostic Radiology | University Radiology Group PC | 16 Mountain Blvd, Warren, NJ 07059-5614 |
| Anna M Eardley | Diagnostic Radiology | University Radiology Group PC | 1669 Woodbine St, 3r, Ridgewood, NY 11385-3546 |
| Jeffrey E Stirling | Interventional Radiology | University Radiology Group PC | 111 Central Ave, Newark, NJ 07102-1909 |
| Street Address |
320 CALLE MIRAMAR APT A |
| City | REDONDO BEACH |
| State | CA |
| Zip | 90277-8800 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Evan Laveman | Emergency Medicine | Exer Medical Corporation | 725 S Pacific Coast Hghway, Redondo Beach, CA 90277 |
| Fernando Carlo | Emergency Medicine | Exer Medical Corporation | 725 S Pacific Coast Hghway, Redondo Beach, CA 90277 |
| Gabriel Henry Campion | Emergency Medicine | Exer Medical Corporation | 725 S Pacific Coast Hghway, Redondo Beach, CA 90277 |
| Khadija Ismail | Emergency Medicine | Exer Medical Corporation | 725 S Pacific Coast Hghway, Redondo Beach, CA 90277 |
| Casey Mariel Krebs | Emergency Medicine | Exer Medical Corporation | 725 S Pacific Coast Hghway, Redondo Beach, CA 90277 |
| Allen H Peters | Preventative Medicine | 819 N Harbor Dr, Suite 310, Redondo Beach, CA 90277-2056 | |
| Sabra Hitchcock | Psychologist, Clinical | 407 N Broadway, Apt 6, Redondo Beach, CA 90277-2807 | |
| Michael B Azarkh | Internal Medicine | 319 N Broadway, Apt 108, Redondo Beach, CA 90277-2846 | |
| Behnam Benjamin Fouladian | Optometry | 403 N Pacific Coast Hwy, Suite 108, Redondo Beach, CA 90277-2882 | |
| Fariba Seraj | Physician Assistant | William J Wickwire, M.d., Inc. | 520 N Prospect Ave, Suite 302, Redondo Beach, CA 90277-3026 |
| Find all physicians in zip 90277 | |||
| City | REDONDO BEACH |
| Zip Code | 90277 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | REDONDO BEACH + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Khadijeh Kadivar.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.