Antoinette T Khowong, MEDICAL DOCTOR | |
5 Medical Plaza Dr, Suite 250, Roseville, CA 95661-2865 | |
(916) 782-2229 | |
(916) 797-9414 |
Full Name | Antoinette T Khowong |
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Gender | Female |
Speciality | Obstetrics & Gynecology - Obstetrics |
Location | 5 Medical Plaza Dr, Roseville, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1033274238 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 6252 (Kansas) | Secondary |
207VX0000X | Obstetrics & Gynecology - Obstetrics | A105245 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Entity Name | Associates In Womens Health Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366419491 PECOS PAC ID: 1052373230 Enrollment ID: O20041029000935 |
Mailing Address | Practice Location Address |
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Antoinette T Khowong, MEDICAL DOCTOR 5 Medical Plaza Dr, Suite 250, Roseville, CA 95661-2865 Ph: (916) 782-2229 | Antoinette T Khowong, MEDICAL DOCTOR 5 Medical Plaza Dr, Suite 250, Roseville, CA 95661-2865 Ph: (916) 782-2229 |
Catherine S. Watson, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 | |
Paul V Murphy, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3 Medical Plaza Dr, #260, Roseville, CA 95661 Phone: 916-773-7977 Fax: 916-773-7979 | |
Kaitlyn Briggs Spears, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3 Medical Plaza Dr Ste 260, Roseville, CA 95661 Phone: 916-733-7877 | |
Julie L. Kelly, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 | |
Jeffrey Wood Hastings, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 Fax: 877-738-4262 | |
Vansen Ralph Wong, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 |