Ibrahim Khansa, MD | |
700 Childrens Dr, Columbus, OH 43205-2664 | |
(614) 722-6200 | |
(614) 722-4565 |
Full Name | Ibrahim Khansa |
---|---|
Gender | Male |
Speciality | Plastic Surgery |
Location | 700 Childrens Dr, Columbus, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649567769 | NPI | - | NPPES |
H654340 | Other | OH | CGS - MEDICARE |
0282941 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0122X | Surgery - Plastic And Reconstructive Surgery | 35-133804 (Ohio) | Secondary |
208200000X | Plastic Surgery | 35-133804 (Ohio) | Primary |
Entity Name | Childrens Hospital Los Angeles Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265530653 PECOS PAC ID: 0143126920 Enrollment ID: O20031211000522 |
Mailing Address | Practice Location Address |
---|---|
Ibrahim Khansa, MD 700 Childrens Dr, Columbus, OH 43205-2664 Ph: (614) 722-2000 | Ibrahim Khansa, MD 700 Childrens Dr, Columbus, OH 43205-2664 Ph: (614) 722-6200 |
Dr. Aditya Sood, M.D., M.B.A. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 915 Olentangy River Rd Ste 2140, Columbus, OH 43212 Phone: 614-293-8566 Fax: 614-293-3381 | |
Kim A. Bjorklund, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 555 S 18th St, Columbus, OH 43205 Phone: 614-722-6200 | |
Patrick W Harbour, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 915 Olentangy River Rd Ste 2140, Columbus, OH 43212 Phone: 614-293-8566 Fax: 614-293-3381 | |
Dr. Kerry-ann Stewart Mitchell, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 915 Olentangy River Rd, Columbus, OH 43212 Phone: 614-293-8566 Fax: 614-293-3381 | |
Anne Huang, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 915 Olentangy River Rd, Columbus, OH 43212 Phone: 614-293-8566 | |
Dr. Cristiane M. Ueno, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 915 Olentangy River Rd, Columbus, OH 43212 Phone: 614-293-8566 Fax: 614-293-3381 | |
Dr. Gan Hok Bing, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3600 Olentangy River Rd Ste 480, Columbus, OH 43214 Phone: 614-457-2233 Fax: 614-457-3012 |