Individual ProviderMohammad LesanpezeshkiStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address2500 Metrohealth Dr, Cleveland, OH 44109-1900(216) 778-4486(718) 249-5775PECOS EnrollmentBased on the most recent information from CMS, provider Mohammad Lesanpezeshki is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1194304709Provider TypeIndividualFull NameLesanpezeshki, MohammadCredentialMDGenderMaleSole ProprietorNoEnumeration Date4/2/2021Last Updated2/17/2025Contact InformationPractice LocationPractice Address2500 Metrohealth Dr, Cleveland, OH 44109-1900Phone(216) 778-4486FaxUnlisted FaxMailing LocationMailing Address3333 Broadway Apt C14e, New York, NY 10031-8706Phone(718) 249-5775FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerCode2084B0040XDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicense036.173149IllinoisCode2084P0800XDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicense35.149223Ohio