Ayesha Khalil, RD | |
200 West Hospital Drive, Usphs Indian Hospital, Whiteriver, AZ 85941-0860 | |
(928) 338-4911 | |
(928) 338-3522 |
Full Name | Ayesha Khalil |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 200 West Hospital Drive, Whiteriver, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437407160 | NPI | - | NPPES |
1057193 | Other | RDA CERTIFICATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 1057193 (* (Not Available)) | Primary |
Provider Name | Dhhs Ihs Phoenix Area |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427335140 PECOS PAC ID: 2668649567 Enrollment ID: O20120117000781 |
Mailing Address | Practice Location Address |
---|---|
Ayesha Khalil, RD Po Box 860, 200 West Hospital Drive, Whiteriver, AZ 85941-0860 Ph: (928) 338-4911 | Ayesha Khalil, RD 200 West Hospital Drive, Usphs Indian Hospital, Whiteriver, AZ 85941-0860 Ph: (928) 338-4911 |
Joshua Becasen, MPH, RD Dietitian Medicare: Medicare Enrolled Practice Location: 200 West Hospital Drive, Whiteriver, AZ 85941 Phone: 928-338-3579 | |
Mrs. Holly A Branch, M.ED., MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 200 West Hospital Dr., Whiteriver, AZ 85941 Phone: 928-338-4911 | |
Melissa Sams, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 200 W Hospital Dr, Whiteriver, AZ 85941 Phone: 928-338-4911 | |
Vangie Ramos, RD Dietitian Medicare: Medicare Enrolled Practice Location: 200 West Hospital Dr., Whiteriver, AZ 85941 Phone: 928-338-3574 | |
Mitchel Kirk Holliday, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 200 West Hospital Drive, Whiteriver, AZ 85941 Phone: 928-338-3574 Fax: 928-338-3522 | |
Ms. Carole Grant, RD,LD,CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 200 West Hospital Drive, Whiteriver, AZ 85941 Phone: 928-338-3647 |