Kamyar Khazaeian (NPI# 1245597152, PAC ID# 4587934690) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1245597152 |
| PAC ID by PECOS | 4587934690 |
| Professional Enrollment ID | I20170724000520 |
| Full Name | Kamyar Khazaeian |
| Organization Legal Name | UNIVERSITY PATHOLOGISTS, LLC |
| Address |
43 High St Wareham MA 02571-2097 |
| Phone Number | 5082950880 |
| Gender | M |
| Graduation Year | 1999 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 4981780061 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220074 | SOUTHCOAST HOSPITALS GROUP |
| 410010 | WOMEN & INFANTS HOSPITAL OF RHODE ISLAND |
| Address | Phone | Organization |
|---|---|---|
| 363 Highland Ave, Fall River, MA 02720-3703 | 5086797168 | UNIVERSITY PATHOLOGISTS, LLC |
| 43 High St, Wareham, MA 02571-2097 | 5082950880 | UNIVERSITY PATHOLOGISTS, LLC |
| Organization Legal Name | UNIVERSITY PATHOLOGISTS, LLC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Norman Libbey | Pathology | University Pathologists, LLC | 825 Chalkstone Aveneu, Providence, RI 02908-4728 |
| Amit Kumar | Pathology | University Pathologists, LLC | 825 Chalkstone Ave, Providence, RI 02908-4728 |
| Brian Mcmillen | Pathology | University Pathologists, LLC | 363 Highland Ave, Fall River, MA 02720-3703 |
| Jila Khorsand | Pathology | University Pathologists, LLC | 363 Highland Ave, Fall River, MA 02720-3703 |
| Mirela Stancu | Pathology | University Pathologists, LLC | 825 Chalkstone Ave, Providence, RI 02908-4728 |
| Jennifer A Ahearn | Pathology | University Pathologists, LLC | 363 Highland Ave, Fall River, MA 02720-3703 |
| Olga K Weinberg | Pathology | University Pathologists, LLC | 825 Chalkstone Ave, Providence, RI 02908-4728 |
| Catherine Breen | Pathology | University Pathologists, LLC | 825 Chalkstone Ave, Providence, RI 02908-4728 |
| James Russell Carlsten | Pathology | University Pathologists, LLC | 825 Chalkstone Ave, Providence, RI 02908-4728 |
| Jiafan Qi | Pathology | University Pathologists, LLC | 825 Chalkstone Ave, Providence, RI 02908-4728 |
| Street Address |
43 HIGH ST |
| City | WAREHAM |
| State | MA |
| Zip | 02571-2097 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica L Brandt | Physician Assistant | First Physicians Corporation | 43 High St, Wareham, MA 02571-2097 |
| Thomas Hopkins | Physician Assistant | First Physicians Corporation | 43 High St, Wareham, MA 02571-2097 |
| Maria P Rumsey | Cardiovascular Disease (cardiology) | Southcoast Hospitals Group Inc | 43 High St, Wareham, MA 02571-2097 |
| Rayford S Kruger Jr. | General Surgery | Southcoast Physicians Group, Inc.. | 43 High St, Wareham, MA 02571-2097 |
| Stephen W Houseworth | Orthopedic Surgery | Synergy Surgicalists Inc | 43 High St, Wareham, MA 02571-2097 |
| Lori A Oliver | Nurse Practitioner | Southcoast Physicians Group, Inc.. | 43 High St, Wareham, MA 02571-2097 |
| Sirjana Dhungana Parajuli | Internal Medicine | Southcoast Physicians Group, Inc.. | 43 High St, Wareham, MA 02571-2097 |
| Karen R Jeghers | Physician Assistant | First Physicians Corporation | 43 High St, Wareham, MA 02571-2097 |
| Sean J Osborne | Physician Assistant | Synergy Surgicalists Inc | 43 High St, Wareham, MA 02571-2097 |
| Rachel E Fortes | Nurse Practitioner | Southcoast Physicians Group, Inc.. | 43 High St, Wareham, MA 02571-2097 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohammad Nourmohammadi | Diagnostic Radiology | Bay Radiology Associates, Inc. | 2527 Cranberry Hwy, Wareham, MA 02571-1046 |
| Dominique Wright | Nurse Practitioner | Southcoast Physicians Group, Inc.. | 100 Rosebrook Way, Fl 2, Wareham, MA 02571-1138 |
| Sarah M Souza | Nurse Practitioner | Southcoast Physicians Group, Inc.. | 100 Rosebrook Way, Wareham, MA 02571-1138 |
| Maria E Cruz | Clinical Social Worker | Southcoast Physicians Group, Inc.. | 100 Rosebrook Way, Wareham, MA 02571-1138 |
| Daniel F Sousa | Pulmonary Disease | Southcoast Physicians Group, Inc.. | 100 Rosebrook Way, Wareham, MA 02571-1138 |
| Alexandra Carlin | Registered Dietitian Or Nutrition Professional | Southcoast Physicians Group, Inc.. | 100 Rosebrook Way, Wareham, MA 02571-1138 |
| Susan A Oliveira | Registered Dietitian Or Nutrition Professional | Southcoast Physicians Group, Inc.. | 100 Rosebrook Way, Wareham, MA 02571-1138 |
| Kevin C Delahanty | Internal Medicine | Southcoast Physicians Group, Inc.. | 100 Rosebrook Way, Wareham, MA 02571-1138 |
| Sagar S Patel | Nephrology | Southcoast Physicians Group, Inc.. | 100 Rosebrook Way, Wareham, MA 02571-1138 |
| Himesh Sheth | Internal Medicine | Southcoast Physicians Group, Inc.. | 100 Rosebrook Way, Wareham, MA 02571-1138 |
| Find all physicians in zip 02571 | |||
| City | WAREHAM |
| Zip Code | 02571 |
| Specialty | PATHOLOGY |
| City + Specialty | WAREHAM + PATHOLOGY |
Please comment or provide details below to improve the information on Kamyar Khazaeian.
| 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.