Camille Eyvazzadeh MD PC

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

Legal business name

CAMILLE EYVAZZADEH MD PC

Practice address

406 Delaware Ave
Bethlehem, PA 18015-1469

Phone

(610) 866-2600

Fax

(610) 861-7640

NPI assigned

Mar 14, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Camille Eyvazzadeh, MD

Title

President

Phone

(610) 866-2600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eyvazzadeh & Reilly Colon and Rectal Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1609845544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 DELAWARE AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151469",
            "telephone_number": "610-866-2600",
            "fax_number": "610-861-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 DELAWARE AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151469",
            "telephone_number": "610-866-2600",
            "fax_number": "610-861-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMILLE EYVAZZADEH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "EYVAZZADEH",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-866-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001564322 01",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyvazzadeh & Reilly Colon and Rectal Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chelsea Callagy, PA-C
• Jane Frances Calvo
• Titi Camara, FNP-BC
• Frank Camaratta, PT
• Andrea Camargo
• Eddily Camilo, MBA
• Allison M Campanile, MS
• Collin Scott Campbell, DO
• Joshua Alan Campbell, MD
• John F Campion, MD

• Colon & Rectal Surgery Physician in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Colon & Rectal Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.