Mohamed Khalifa, | |
801 Pole Line Rd W, Twin Falls, ID 83301-5810 | |
(208) 381-2645 | |
Not Available |
Full Name | Mohamed Khalifa |
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Gender | Male |
Speciality | Pediatrics |
Location | 801 Pole Line Rd W, Twin Falls, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1528467552 | NPI | - | NPPES |
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 |
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Mohamed Khalifa, 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Mohamed Khalifa, 801 Pole Line Rd W, Twin Falls, ID 83301-5810 Ph: (208) 381-2645 |
Dr. Austin Kline, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-1000 | |
Ms. Nancy Mann, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1502 Locust St N Ste 700, Twin Falls, ID 83301 Phone: 208-595-5095 | |
Dr. Mitchell Jackson Moffitt, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 775 Pole Line Rd W, Suite 111, Twin Falls, ID 83301 Phone: 208-814-8000 Fax: 208-733-9402 | |
Ronald Miller, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 630 Addison Ave W, Suite 100, Twin Falls, ID 83301 Phone: 208-733-4343 Fax: 208-734-9941 | |
Jared L Hansen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 706 N College Rd Ste C, Twin Falls, ID 83301 Phone: 208-391-5952 Fax: 877-409-2920 | |
Dr. Christopher Adam Eyre, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1502 Locust St N Ste 700, Twin Falls, ID 83301 Phone: 208-595-5095 Fax: 208-595-5258 | |
Kathryn G Reese, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2550 Addison Ave E, Suite B, Twin Falls, ID 83301 Phone: 208-814-7700 Fax: 208-933-9301 |