Khaleel Qussous, MD | |
2222 Cherry St Ste 2900, Toledo, OH 43608-2675 | |
(419) 251-6430 | |
Not Available |
Full Name | Khaleel Qussous |
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Gender | Male |
Speciality | Pediatrics - Pediatric Pulmonology |
Location | 2222 Cherry St Ste 2900, Toledo, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114473832 | NPI | - | NPPES |
0487960 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0214X | Pediatrics - Pediatric Pulmonology | 4301117316 (Michigan) | Secondary |
2080P0214X | Pediatrics - Pediatric Pulmonology | 35.144382 (Ohio) | Primary |
Entity Name | Northwest Pediatric Specialists, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033709100 PECOS PAC ID: 6709279276 Enrollment ID: O20220204000359 |
Mailing Address | Practice Location Address |
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Khaleel Qussous, MD 700 Childrens Dr, Columbus, OH 43205-2639 Ph: (614) 722-2000 | Khaleel Qussous, MD 2222 Cherry St Ste 2900, Toledo, OH 43608-2675 Ph: (419) 251-6430 |
Erica Devries, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2142 N Cove Blvd, 5-north Pediatrics, Toledo, OH 43606 Phone: 419-291-4000 Fax: 419-479-6102 | |
Dr. Lysa Marleen Aemmer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2213 Franklin Ave, Toledo, OH 43620 Phone: 419-251-2415 | |
Robert W Mills, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7629 Kings Pointe Rd, Toledo, OH 43617 Phone: 419-841-6202 Fax: 419-841-6338 | |
Dr. Deepa Mukundan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2150 W Central Ave Fl 2, Toledo, OH 43606 Phone: 419-291-5599 Fax: 419-291-6468 | |
Robert Jan Salzman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3715 Airport Highway, Suite H, Toledo, OH 43615 Phone: 419-389-1444 Fax: 419-389-6755 | |
Dr. David Geisinger, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2142 N Cove Blvd, Toledo, OH 43606 Phone: 419-291-4000 | |
Brian S Bradley, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2142 N Cove Blvd, Toledo, OH 43606 Phone: 419-291-4225 Fax: 419-479-6193 |