Behnaz Goudarzi (NPI# 1962667139, PAC ID# 1557589371) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1962667139 |
| PAC ID by PECOS | 1557589371 |
| Professional Enrollment ID | I20140820000445 |
| Full Name | Behnaz Goudarzi |
| Organization Legal Name | MEDSTAR MEDICAL GROUP RADIOLOGY LLC |
| Address |
4460 Doncaster Dr Ellicott City MD 21043-6797 |
| Phone Number | 2026698501 |
| Gender | F |
| Graduation Year | 2000 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialties | NUCLEAR MEDICINE |
| Group Practice PAC ID | 1557589157 |
| Number of Group Practice Members | 124 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210008 | MERCY MEDICAL CENTER INC |
| 210024 | MEDSTAR UNION MEMORIAL HOSPITAL |
| 210057 | ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER |
| 210016 | ADVENTIST HEALTHCARE WASHINGTON ADVENTIST HOSPITAL |
| 210018 | MEDSTAR MONTGOMERY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 301 Saint Paul St, Baltimore, MD 21202-2102 | ST PAUL PLACE SPECIALISTS, INC. | |
| 4460 Doncaster Dr, Ellicott City, MD 21043-6797 | 2026698501 | MEDSTAR MEDICAL GROUP RADIOLOGY LLC |
| 1734 York Rd, Lutherville, MD 21093-5606 | 4102522273 | ST PAUL PLACE SPECIALISTS, INC. |
| 9901 Medical Ctr Dr, Rockville, MD 20850-3357 | 2408266064 | MEDICAL FACULTY ASSOCIATES, INC |
| 12100 Plum Orchard Dr, Silver Spring, MD 20904-7804 | 2406376215 | MEDICAL FACULTY ASSOCIATES, INC |
| 7600 Carroll Ave, Takoma Park, MD 20912-6367 | 3018916556 | MEDICAL FACULTY ASSOCIATES, INC |
| 900 23rd St Nw, Washington, DC 20037-2342 | 2027154000 | MEDICAL FACULTY ASSOCIATES, INC |
| Organization Legal Name | MEDSTAR MEDICAL GROUP RADIOLOGY LLC |
| Physicians | 121 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Thomas | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Kimberly Smith | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 233 S 6th St, Apt 302, Philadelphia, PA 19106-3750 |
| Igor Trilisky | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 6600 N Whipple St, Chicago, IL 60645-4121 |
| David C Moses | Nuclear Medicine | Medstar Medical Group Radiology LLC | 750 Chapel Ridge Rd, Timonium, MD 21093-1897 |
| Navid R Homayouni | Nuclear Medicine | Medstar Medical Group Radiology LLC | 70 I St Se, Apt 932, Washington, DC 20003-4833 |
| Kaustubh Subhash Yadwadkar | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 3800 Reservoir Rd Nw, Dept of Radiology, Washington, DC 20007-2113 |
| Brian P Swehla | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Angela Denise Levy | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 3800 Reservoir Rd Nw, Dept of Radiology, Washington, DC 20007-2113 |
| Sheil Y Shah | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 110 Irving St Nw, Dept of Rad Rm Ba94, Washington, DC 20010-3017 |
| Namik Haveric | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 110 Irving St Nw, Dept of Rad Rm Ba94, Washington, DC 20010-3017 |
| Street Address |
4460 DONCASTER DR |
| City | ELLICOTT CITY |
| State | MD |
| Zip | 21043-6797 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian W Lloyd | Physical Therapy | Home Care Health Specialists LLC | 3100 Northridge Rd, Move for Life Physical Therapy LLC, Elicott City, MD 21043 |
| Karli T Sutherland | Nurse Practitioner | Michael Mardiney IIi Md Pa | 3105 N Ridge Rd, Ellicott City, MD 21043-3348 |
| Bridget A Blandina | Optometry | 3200 N Ridge Rd, Ellicott City, MD 21043-3363 | |
| Christian T Han | Physical Therapy | 8492 Baltimore National Pike, Suite 207, Ellicott City, MD 21043-3378 | |
| Tyra Carter | Nurse Practitioner | 3247 Halcyon Ct, Ellicott City, MD 21043-3379 | |
| Doris Alene Morgan | Clinical Psychologist | Morgan Metro Maryland Counseling Ctr | 3300 N Ridge Rd, Suite 110, Ellicott City, MD 21043-3384 |
| Sheila Marie Ishii | Clinical Social Worker | Morgan Metro Maryland Counseling Ctr | 3300 N Ridge Rd, Suite 110, Ellicott City, MD 21043-3384 |
| Angela M Kopack | Infectious Disease | Johns Hopkins Regional Physicians LLC | 2850 N Ridge Rd, 102 Infectious Disease Associates, Ellicott City, MD 21043-3396 |
| Benjamin Mark Landrum | Infectious Disease | Johns Hopkins Regional Physicians LLC | 2850 N Ridge Rd, 102 Infectious Disease Associates, Ellicott City, MD 21043-3396 |
| Tamera E Jett-parmer | Physician Assistant | Integrative Health Practices LLC | 2850 N Ridge Rd, Suite 107, Ellicott City, MD 21043-3396 |
| Find all physicians in zip 21043 | |||
| City | ELLICOTT CITY |
| Zip Code | 21043 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | ELLICOTT CITY + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Behnaz Goudarzi.
| 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.