Marshal Khant, DO | |
2450 Riverside Ave, Minneapolis, MN 55454-1450 | |
(612) 672-6000 | |
Not Available |
Full Name | Marshal Khant |
---|---|
Gender | Male |
Speciality | Emergency Medicine - Pediatric Emergency Medicine |
Location | 2450 Riverside Ave, Minneapolis, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306296645 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 5101022793 (Michigan) | Secondary |
207PP0204X | Emergency Medicine - Pediatric Emergency Medicine | 67677 (Minnesota) | Primary |
Entity Name | University Pediatricians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811920549 PECOS PAC ID: 9638070568 Enrollment ID: O20040115000125 |
Mailing Address | Practice Location Address |
---|---|
Marshal Khant, DO 345 Smith Ave N, Mail Stop 70-504, St. Paul, MN 55102-2346 Ph: () - | Marshal Khant, DO 2450 Riverside Ave, Minneapolis, MN 55454-1450 Ph: (612) 672-6000 |
Daniel Hart, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 Park Ave, Minneapolis, MN 55415 Phone: 612-873-3000 | |
Mr. Collin Markham Cousins, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 E 28th St # Mr 11112, Minneapolis, MN 55407 Phone: 612-863-4233 | |
Brenda Leech, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-863-3547 | |
Paul C Allegra, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Park Ave, Minneapolis, MN 55415 Phone: 612-873-3000 | |
Dr. Kurt Andrew Hessen, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 Park Ave, Minneapolis, MN 55415 Phone: 612-873-3000 | |
Dr. Bar Ferents, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 Park Ave, Minneapolis, MN 55415 Phone: 612-873-3000 | |
Margot Samson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 Park Ave, Minneapolis, MN 55415 Phone: 612-873-5683 |