Dr Rowshanul I Khan, MD | |
130 Centerway, Corning, NY 14830 | |
(607) 936-9971 | |
(607) 936-2600 |
Full Name | Dr Rowshanul I Khan |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 130 Centerway, Corning, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053380725 | NPI | - | NPPES |
0018454770001 | Medicaid | PA | |
CC8362 | Other | NY | RR MEDICARE GROUP |
02161439 | Medicaid | NY | |
370019082 | Other | NY | RR MEDICARE PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 221066-1 (New York) | Primary |
Entity Name | Guthrie Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134178635 PECOS PAC ID: 6002728656 Enrollment ID: O20031103000220 |
Mailing Address | Practice Location Address |
---|---|
Dr Rowshanul I Khan, MD 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 | Dr Rowshanul I Khan, MD 130 Centerway, Corning, NY 14830 Ph: (607) 936-9971 |
Karleena Marie Mickle, FNP Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Guthrie Dr, Corning, NY 14830 Phone: 607-973-7200 Fax: 607-937-7866 | |
Deepa Manimegalan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 130 Center Way, Corning, NY 14830 Phone: 607-973-8022 Fax: 607-937-1842 | |
Dr. Abdul Qadir, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 130 Centerway, Corning, NY 14830 Phone: 607-936-9971 Fax: 607-936-2600 | |
Dr. Amechi Valentine Odife Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 130 Center Way, Corning, NY 14830 Phone: 607-936-9971 Fax: 607-936-2600 | |
Mrs. Andrea Denise Worley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 130 Center Way, Corning, NY 14830 Phone: 607-973-8022 Fax: 607-937-1842 | |
Foram Gandhi, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 130 Center Way, Corning, NY 14830 Phone: 607-936-9971 |