Individual ProviderNika Samadzadeh TabriziStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address9500 Euclid Avenue, Jj24, Cleveland, OH 44195(216) 444-2200PECOS EnrollmentBased on the most recent information from CMS, provider Nika Samadzadeh Tabrizi 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 11:13 AM.Profile DetailsProvider ID1710738117Provider TypeIndividualFull NameSamadzadeh Tabrizi, NikaGenderFemaleSole ProprietorYesEnumeration Date4/1/2024Last Updated4/1/2024Contact InformationPractice LocationPractice Address9500 Euclid Avenue, Jj24, Cleveland, OH 44195Phone(216) 444-2200FaxUnlisted FaxMailing LocationMailing Address9500 Euclid Ave., Jj24, Cleveland, OH 44195Phone(216) 444-2200FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer