Mehdi Tavakoli Dastjerdi (NPI# 1437689478, PAC ID# 0648516211) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1437689478 |
| PAC ID by PECOS | 0648516211 |
| Professional Enrollment ID | I20191025002750 |
| Full Name | Mehdi Tavakoli Dastjerdi |
| Organization Legal Name | UNIVERSITY OF ALABAMA OPHTHALMOLOGY SERVICES FOUNDATION |
| Address |
1940 Elmer J Bissell Rd Suite B Birmingham AL 35243-2941 |
| Phone Number | 2056384938 |
| Gender | M |
| Graduation Year | 2005 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 9234023417 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010018 | CALLAHAN EYE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1940 Elmer J Bissell Rd, Suite B, Birmingham, AL 35243-2941 | 2056384938 | UNIVERSITY OF ALABAMA OPHTHALMOLOGY SERVICES FOUNDATION |
| 501 Emery Dr W, Suite 1101a, Hoover, AL 35244-4625 | 2053258620 | UNIVERSITY OF ALABAMA OPHTHALMOLOGY SERVICES FOUNDATION |
| Organization Legal Name | UNIVERSITY OF ALABAMA OPHTHALMOLOGY SERVICES FOUNDATION |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shilpa Register | Optometry | University of Alabama Ophthalmology Services Foundation | 210 W Spring St, Sylacauga, AL 35150-2924 |
| Carol E Rosenstiel | Ophthalmology | University of Alabama Ophthalmology Services Foundation | 700 18th St S, Suite 601, Birmingham, AL 35233-3802 |
| Tim Thompson | Optometry | University of Alabama Ophthalmology Services Foundation | 1720 University Blvd, Suite 200, Birmingham, AL 35233-1816 |
| Parisa T Dudley | Optometry | University of Alabama Ophthalmology Services Foundation | 700 18th St S, Suite 601, Birmingham, AL 35233-3802 |
| Rita J Armitage | Ophthalmology | University of Alabama Ophthalmology Services Foundation | 985 9th Ave Sw, Suite 310, Bessemer, AL 35022-7809 |
| Krupa Hasmukh Patel | Ophthalmology | University of Alabama Ophthalmology Services Foundation | 700 18th St S, Suite 601, Birmingham, AL 35233-3802 |
| Darrell Wade Joiner | Ophthalmology | University of Alabama Ophthalmology Services Foundation | 700 18th St S, Suite 601, Birmingham, AL 35233-3802 |
| Joy M Chuang | Optometry | University of Alabama Ophthalmology Services Foundation | 1720 University Blvd, Suite 200, Birmingham, AL 35233-1816 |
| Michael S Vaphiades | Ophthalmology | University of Alabama Ophthalmology Services Foundation | 700 18th St S, Suite 601, Birmingham, AL 35233-3802 |
| Sarah M Jacobs | Ophthalmology | University of Alabama Ophthalmology Services Foundation | 700 18th St S, Suite 406, Birmingham, AL 35233-3801 |
| Street Address |
1940 ELMER J BISSELL RD SUITE B |
| City | BIRMINGHAM |
| State | AL |
| Zip | 35243-2941 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen M Fountain | Physical Therapy | Birmingham Physical Therapy and Sports Medicine | 3234 Cahaba Heights Rd, Birmingham, AL 35243-1614 |
| Beth E Nicholson | Occupational Therapy | 3234 Cahaba Heights Rd, Vestavia, AL 35243-1614 | |
| William James Oldfield | Physical Therapy | Birmingham Physical Therapy and Sports Medicine | 3234 Cahaba Heights Rd, Birmingham, AL 35243-1614 |
| Julie W Beavers | Physical Therapy | Birmingham Physical Therapy and Sports Medicine | 3234 Cahaba Heights Rd, Birmingham, AL 35243-1614 |
| Christopher J Fountain | Physical Therapy | Birmingham Physical Therapy and Sports Medicine | 3234 Cahaba Heights Rd, Birmingham, AL 35243-1614 |
| George S Collins | Physical Therapy | Birmingham Physical Therapy and Sports Medicine | 3234 Cahaba Heights Rd, Birmingham, AL 35243-1614 |
| Kimberly Freind Dunn | Physical Therapy | Birmingham Physical Therapy and Sports Medicine | 3234 Cahaba Heights Rd, Birmingham, AL 35243-1614 |
| Ellen R Hamilton | Physical Therapy | Birmingham Physical Therapy and Sports Medicine | 3234 Cahaba Heights Rd, Birmingham, AL 35243-1614 |
| David F Wynne | Internal Medicine | 3570 Grandview Pkwy, 100a, Birmingham, AL 35243-2033 | |
| Mamatha Gandhi | Internal Medicine | Nephrology Medical Associates of Georgia, LLC | 3570 Grandview Pkwy, Suite 101, Birmingham, AL 35243-2065 |
| Find all physicians in zip 35243 | |||
| City | BIRMINGHAM |
| Zip Code | 35243 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | BIRMINGHAM + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Mehdi Tavakoli Dastjerdi.
| 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.