Dr Amira Khatib, MD | |
225 Williamson St, Elizabeth, NJ 07202-3625 | |
(908) 994-5760 | |
Not Available |
Full Name | Dr Amira Khatib |
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Gender | Female |
Speciality | Pediatrics |
Location | 225 Williamson St, Elizabeth, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861584773 | NPI | - | NPPES |
7585705 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MA30372 (New Jersey) | Primary |
Entity Name | Garden State Healthcare Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700014545 PECOS PAC ID: 8426190687 Enrollment ID: O20100126000693 |
Mailing Address | Practice Location Address |
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Dr Amira Khatib, MD 15 Gallowae, Watchung, NJ 07069-6413 Ph: (908) 222-0503 | Dr Amira Khatib, MD 225 Williamson St, Elizabeth, NJ 07202-3625 Ph: (908) 994-5760 |
Amita N Patel, M.D., Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 817 Rahway Ave, Elizabeth, NJ 07202 Phone: 908-353-5750 Fax: 908-355-2452 | |
Mrs. Karpukarasi Ayyanathan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 517 Rahway Ave, Elizabeth, NJ 07202 Phone: 908-527-1247 Fax: 908-354-8822 | |
Dr. Patricia Laura Czernizer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 435 Elmora Ave, Elizabeth, NJ 07208 Phone: 908-659-9200 Fax: 908-659-9210 | |
Dr. Kenneth James Davis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 701 Newark Ave, Suite 212, Elizabeth, NJ 07208 Phone: 908-354-9500 Fax: 908-354-9077 | |
Dr. Edgardo Tan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 314 1st Ave, Elizabeth, NJ 07206 Phone: 908-353-5280 | |
Mrs. Kusum Anil Jethwa, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 117 Westfield Ave, Elizabeth, NJ 07208 Phone: 908-354-1400 Fax: 908-354-1400 | |
Dr. Danilo Magallanes Guinto, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 144 Chilton St, Elizabeth, NJ 07202 Phone: 908-659-0429 Fax: 908-659-1559 |