Mohammad Abraham A Kazemizadeh Gol (NPI# 1952626418, PAC ID# 8123322864) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1952626418 |
| PAC ID by PECOS | 8123322864 |
| Professional Enrollment ID | I20171009002105 |
| Full Name | Mohammad Abraham A Kazemizadeh Gol |
| Organization Legal Name | MARYLAND ENT CENTER LLC |
| Address |
200 E 33rd St Suite 631 Baltimore MD 21218-3322 |
| Phone Number | 4105544545 |
| Gender | M |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 2010 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 4486712155 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210012 | SINAI HOSPITAL OF BALTIMORE |
| 210056 | MEDSTAR GOOD SAMARITAN HOSPITAL |
| 210044 | GREATER BALTIMORE MEDICAL CENTER |
| 210024 | MEDSTAR UNION MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 200 E 33rd St, Suite 631, Baltimore, MD 21218-3322 | 4105544545 | MARYLAND ENT CENTER LLC |
| Organization Legal Name | MARYLAND ENT CENTER LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan Henry Shikani | Otolaryngology | Maryland Ent Center LLC | 1629 York Rd, Lutherville, MD 21093-5633 |
| Hassen O Mohammed | Otolaryngology | Maryland Ent Center LLC | 200 E 33rd St, Suite 631, Baltimore, MD 21218-3322 |
| Peyapong Patanaphan | Otolaryngology | Maryland Ent Center LLC | 2401 W Belvedere Ave, Ent Clinic, Baltimore, MD 21215-5216 |
| Shannon P Hahn | Audiologist | Maryland Ent Center LLC | 200 E 33rd St, Suite 631, Baltimore, MD 21218-3322 |
| Street Address |
200 E 33RD ST SUITE 631 |
| City | BALTIMORE |
| State | MD |
| Zip | 21218-3322 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mansur Elias Shomali | Endocrinology | Medstar Medical Group II LLC | 200 E 33rd St, 223 Mmg 33rd St Professional Bldg, Baltimore, MD 21218-3322 |
| Michael Anthony Randolph | Internal Medicine | 200 E 33rd St, Suite 136, Baltimore, MD 21218-3384 | |
| Hassen O Mohammed | Otolaryngology | Maryland Ent Center LLC | 200 E 33rd St, Suite 631, Baltimore, MD 21218-3322 |
| Allan D Jensen | Ophthalmology | 200 E 33rd St, Suite 426, Baltimore, MD 21218-3381 | |
| Paul A Eder | Infectious Disease | 200 E 33rd St, Suite 640, Baltimore, MD 21218-3379 | |
| Aretha Adell Hennessee | Nurse Practitioner | Medstar Medical Group II LLC | 200 E 33rd St, 223 Mmg 33rd St Professional Bldg, Baltimore, MD 21218-3322 |
| Miguel Karacuschansky | Internal Medicine | 200 E 33rd St, Suite 640, Baltimore, MD 21218-3379 | |
| Nan Ni | Internal Medicine | 200 E 33rd St, Suite 471, Baltimore, MD 21218-3322 | |
| John Edward Morrow | Clinical Social Worker | 200 E 33rd St, Suite 3d, New York, NY 10016-4826 | |
| Paul A Sack | Endocrinology | Medstar Medical Group II LLC | 200 E 33rd St, 223 Mmg 33rd St Professional Bldg, Baltimore, MD 21218-3322 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tazeen M Hashmi | Internal Medicine | 201 E University Hospital, Baltimore, MD 21218 | |
| Regina Anderson | Dermatology | 4100 N Charles St, Suite 114, Baltimore, MD 21218-1026 | |
| Nancy R Goldblatt | Clinical Social Worker | 1620 Roundhill Rd, Baltimore, MD 21218-2213 | |
| Robert J Snow | Clinical Social Worker | 3811 Canterbury Rd, Baltimore, MD 21218-2340 | |
| Sandra B Snow | Clinical Social Worker | 3811 Canterbury Rd, Baltimore, MD 21218-2340 | |
| Christy Mcdermott Wooton | Clinical Social Worker | 3811 Canterbury Rd, Baltimore, MD 21218-2340 | |
| Jonathan A Johnson | General Surgery | 3801 Canterbury Rd, Unit 711, Baltimore, MD 21218-2376 | |
| Alicia Morgan-cooper | Pediatric Medicine | Privia Medical Group,llc | One E University Pkwy, 109 Pmg_viped_baltimore Office, Baltimore, MD 21218-2432 |
| Patricia Marie Disharoon | Internal Medicine | 3414 Saint Paul St, Baltimore, MD 21218-2701 | |
| Diane F Gutterman | Psychiatry | 3501 Saint Paul St, Suite 142, Baltimore, MD 21218-2726 | |
| Find all physicians in zip 21218 | |||
| City | BALTIMORE |
| Zip Code | 21218 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | BALTIMORE + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Mohammad Abraham A Kazemizadeh Gol.
| 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.