Dr Khama D Ennis, MD, MPH | |
150 Infirmary Way, Amherst, MA 01003-9288 | |
(413) 577-5152 | |
Not Available |
Full Name | Dr Khama D Ennis |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 150 Infirmary Way, Amherst, Massachusetts |
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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1669453973 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 223355 (Massachusetts) | Primary |
Entity Name | Cd Practice Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295787919 PECOS PAC ID: 2567359839 Enrollment ID: O20040302000290 |
Entity Name | Vineyard Complementary Medicine Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053490896 PECOS PAC ID: 2860435005 Enrollment ID: O20170310000520 |
Mailing Address | Practice Location Address |
---|---|
Dr Khama D Ennis, MD, MPH 26 S Prospect St Ste 7, Amherst, MA 01002-2268 Ph: (413) 800-6968 | Dr Khama D Ennis, MD, MPH 150 Infirmary Way, Amherst, MA 01003-9288 Ph: (413) 577-5152 |
Gregory W. Little, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 150 Infirmary Way, Amherst, MA 01003 Phone: 413-577-5000 Fax: 413-577-5440 | |
David H Nielsen, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 17 Stagecoach Rd, Amherst, MA 01002 Phone: 413-253-3842 |