Shabnam Khanideh, DMD in Encino, CA - Medicare Dentist Provider

Shabnam Khanideh, DMD is a medicare enrolled "Dentist" provider in Encino, California. Her current practice location is 15720 Ventura Blvd, Suite 609, Encino, California. You can reach out to her office (for appointments etc.) via phone at (818) 385-3500.

Shabnam Khanideh is licensed to practice in California (license number 54944) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366576332.

Contact Information

	Shabnam Khanideh, DMD
	15720 Ventura Blvd, Suite 609, Encino, CA 91436-2914
	(818) 385-3500
	(818) 788-7303

Healthcare Provider's Profile

Full Name	Shabnam Khanideh
Gender	Female
Speciality	Dentist
Location	15720 Ventura Blvd, Encino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366576332
Provider Enumeration Date: 03/14/2007
Last Update Date: 12/09/2011

Medicare PECOS Information:

PECOS PAC ID: 6507082005
Enrollment ID: I20141204000977

Medical Identifiers

Medical identifiers for Shabnam Khanideh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366576332	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	54944 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shabnam Khanideh is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shabnam Khanideh, DMD 15720 Ventura Blvd, Suite 609, Encino, CA 91436-2914 Ph: (818) 385-3500	Shabnam Khanideh, DMD 15720 Ventura Blvd, Suite 609, Encino, CA 91436-2914 Ph: (818) 385-3500

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Dentist in Encino, CA

Dr. Lecia Erin Harmer, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 6345 Balboa Blvd Ste 314, Encino, CA 91316 Phone: 818-943-8228 Fax: 509-271-7372
Jeremiah Beisel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 15720 Ventura Blvd Ste 301, Encino, CA 91436 Phone: 818-788-7181 Fax: 818-907-1891
Mr. Steven Yoshiharu Shiba, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 16311 Ventura Blvd, #1075, Encino, CA 91436 Phone: 818-783-2770 Fax: 818-788-0494
Roya Delafraz, Dentist Medicare: Not Enrolled in Medicare Practice Location: 15760 Ventura Blvd Ste 606, Encino, CA 91436 Phone: 818-981-9143
Dr. Jeffrey B Ballen, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 5363 Balboa Blvd, Suite 534, Encino, CA 91316 Phone: 818-986-6777
Dr. Richard Lee Kahn, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 16406 Moorpark St, Encino, CA 91436 Phone: 213-740-8084
Dr. Kory Michael Zussman, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 16311 Ventura Blvd Ste 625, Encino, CA 91436 Phone: 818-907-1318

Shabnam Khanideh, DMD - Medicare Dentist in Encino, CA