Dr Justin Khine, MD | |
1960 Ken Pratt Blvd, Longmont, CO 80501-6045 | |
(248) 330-5135 | |
Not Available |
Full Name | Dr Justin Khine |
---|---|
Gender | Male |
Speciality | Internal Medicine - Nephrology |
Location | 1960 Ken Pratt Blvd, Longmont, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851956486 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | DR.0073316 (Colorado) | Primary |
Entity Name | Southeastern Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
Mailing Address | Practice Location Address |
---|---|
Dr Justin Khine, MD 1960 Ken Pratt Blvd, Longmont, CO 80501-6045 Ph: (248) 330-5135 | Dr Justin Khine, MD 1960 Ken Pratt Blvd, Longmont, CO 80501-6045 Ph: (248) 330-5135 |
Ms. Prachi Toni Patel, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2101 Ken Pratt Blvd Ste 104, Longmont, CO 80501 Phone: 303-415-4157 Fax: 303-776-3109 | |
Carl Noble, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1400 Dry Creek Dr, Longmont, CO 80503 Phone: 303-772-3300 Fax: 303-682-3380 | |
Theresa A Tyler, Nephrology Medicare: Not Enrolled in Medicare Practice Location: 2345 Bent Way, Longmont, CO 80503 Phone: 303-743-5855 | |
Hossein Maymani, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1760 E Ken Pratt Blvd Ste 302, Longmont, CO 80504 Phone: 303-684-1900 Fax: 303-684-1925 | |
Dr. Lynn Marie Carlyle, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1551 Professional Ln Unit 150, Longmont, CO 80501 Phone: 720-388-7760 Fax: 720-405-4228 | |
Dr. Linda Backup, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1925 W Mountain View Ave, Longmont, CO 80501 Phone: 303-776-1234 Fax: 720-494-3107 | |
Dr. Anita R. Ritenour, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1750 E Ken Pratt Blvd, Longmont, CO 80504 Phone: 720-718-7000 |