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CAMILLE EYVAZZADEH MD PC NPI 1609845544


NPI Information

NPI: 1609845544
Provider Name: CAMILLE EYVAZZADEH MD PC

Doing Business As: EYVAZZADEH & REILLY COLON AND RECTAL CENTER

Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Organization
Address:
406 DELAWARE AVE
BETHLEHEM, PA
ZIP 18015
Phone: (610) 866-2600
Get Directions

CAMILLE EYVAZZADEH MD PC is a colon rectal surgery in Bethlehem, PA. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. CAMILLE EYVAZZADEH MD PC NPI is 1609845544. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Eyvazzadeh & Reilly Colon And Rectal Center.

The provider's business location address is:

406 DELAWARE AVE
BETHLEHEM, PA
ZIP 18015-469
Phone: (610) 866-2600
Fax: (610) 861-7640

The provider's authorized official is Camille Eyvazzadeh .
The authorized official title is President and has the following contact phone number (610) 866-2600.

The enumeration date for this NPI number is 3/14/2006 and was last updated on 10/19/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208C00000XColon & Rectal SurgeryPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1001564322 01MEDICAIDPENNSYLVANIA
2852981MEDICARE PINPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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