Maan Elkhatib, MD | |
1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | |
(850) 862-1111 | |
Not Available |
Full Name | Maan Elkhatib |
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Gender | Male |
Speciality | Radiology - Vascular & Interventional Radiology |
Location | 1000 Mar Walt Dr, Fort Walton Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316656192 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0204X | Radiology - Vascular & Interventional Radiology | ME159905 (Florida) | Primary |
Entity Name | Sheridan Radiology Services Of Central Florida Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134567506 PECOS PAC ID: 4688762149 Enrollment ID: O20071116000118 |
Entity Name | Sheridan Radiology Services Of West Florida Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235674904 PECOS PAC ID: 4082998075 Enrollment ID: O20170413000678 |
Entity Name | Radiology Physician Solutions Of North Florida Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447761101 PECOS PAC ID: 2466710306 Enrollment ID: O20180216001493 |
Mailing Address | Practice Location Address |
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Maan Elkhatib, MD 28 Barcelona, Irvine, CA 92614-5318 Ph: (424) 200-7371 | Maan Elkhatib, MD 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 Ph: (850) 862-1111 |
Bethany A Cazenave, MD Radiology Medicare: Medicare Enrolled Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 614-210-1885 Fax: 614-210-1886 | |
Warren R. Amos, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1026 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-5294 Fax: 850-864-1648 | |
Dr. Vincent Thomas Jones, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1005 Mar Walt Drive, Radiology Department, Fort Walton Beach, FL 32547 Phone: 850-863-8110 Fax: 850-863-8245 | |
Tara Marie Otto, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 220 Fliva Ave Nw, Fort Walton Beach, FL 32548 Phone: 952-595-1100 Fax: 612-294-4903 | |
Dr. Walter William Perrott, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 866-775-5053 Fax: 614-764-9147 | |
Dr. Norman Bull Clinkscales, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1005 Mar Walt Drive, Radiology Department, Fort Walton Beach, FL 32547 Phone: 850-863-8110 Fax: 850-863-8245 |