Dr Mohammad H Khan, MD | |
474 North Lake Shore Drive, Apt 4510, Chicago, IL 60611-6488 | |
(312) 224-8764 | |
Not Available |
Full Name | Dr Mohammad H Khan |
---|---|
Gender | Male |
Speciality | Internal Medicine - Gastroenterology |
Location | 474 North Lake Shore Drive, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396810370 | NPI | - | NPPES |
1396810370 | Medicaid | WI | |
036090466 | Medicaid | IL | |
200458220 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 036090466 (Illinois) | Primary |
207RG0100X | Internal Medicine - Gastroenterology | 01063260A (Indiana) | Secondary |
Entity Name | Rockford Health Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
Entity Name | The Board Of Trustees Of The University Of Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
Mailing Address | Practice Location Address |
---|---|
Dr Mohammad H Khan, MD 474 North Lake Shore Drive, Apt 4510, Chicago, IL 60611-6488 Ph: (312) 224-8764 | Dr Mohammad H Khan, MD 474 North Lake Shore Drive, Apt 4510, Chicago, IL 60611-6488 Ph: (312) 224-8764 |
Dr. Sorin C Danciu, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3134 N Clark St, Chicago, IL 60657 Phone: 773-880-9722 | |
Anoopa A. Koshy, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 259 E Erie St Ste 2200, Chicago, IL 60611 Phone: 312-926-6000 | |
William Edmond Gerardi, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 3730 N Lake Shore Dr, Apartment 2a, Chicago, IL 60613 Phone: 773-244-3060 | |
Suparna Dutta, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1700 W Van Buren St, Suite 500, Chicago, IL 60612 Phone: 312-942-4200 Fax: 312-942-3568 | |
Alexandra Dumitrescu, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 888-824-0200 | |
Dr. Mitesh Mahesh Kabadi, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St Ste 1159, Chicago, IL 60612 Phone: 312-942-5020 | |
Dr. Marta Batus, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St, Suite 809, Chicago, IL 60612 Phone: 312-563-2487 Fax: 312-942-3192 |