Mohammad Khan, MD | |
1180 Ernest W Barrett Pkwy Nw Ste 102a, Kennesaw, GA 30144-4534 | |
(470) 956-9171 | |
(770) 794-6652 |
Full Name | Mohammad Khan |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Cardiology |
Location | 1180 Ernest W Barrett Pkwy Nw Ste 102a, Kennesaw, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700249018 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0202X | Pediatrics - Pediatric Cardiology | 91770 (Georgia) | Primary |
Entity Name | Wellstar Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
---|---|
Mohammad Khan, MD 1180 Ernest W Barrett Pkwy Nw Ste 102a, Kennesaw, GA 30144-4534 Ph: (470) 956-9171 | Mohammad Khan, MD 1180 Ernest W Barrett Pkwy Nw Ste 102a, Kennesaw, GA 30144-4534 Ph: (470) 956-9171 |
Brandi Lewis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1180 Ernest W Barrett Pkwy Nw Ste 102b, Kennesaw, GA 30144 Phone: 678-354-2273 | |
Krishna Eechampati, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 625 Big Shanty Rd Nw, Kennesaw, GA 30144 Phone: 404-785-8010 Fax: 404-785-8090 | |
Dr. Kimberly Dao-king, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 750 Townpark Ln Nw, Kennesaw, GA 30144 Phone: 800-611-1811 | |
Karen Spencer Thrower, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3745 Cherokee St, Ste 401, Kennesaw, GA 30144 Phone: 770-429-1005 Fax: 770-429-8005 | |
Anabelle Monroe, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Pediatrics Health Care Team A, 750 Townpark Lane, Kennesaw, GA 30144 Phone: 770-514-5455 Fax: 770-514-5444 | |
Constance Enmon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 625 Big Shanty Rd Nw, Kennesaw, GA 30144 Phone: 404-785-8010 Fax: 404-785-8090 | |
Bryana Ferris, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1180 Ernest W Barrett Pkwy Nw, Kennesaw, GA 30144 Phone: 678-354-2273 Fax: 770-794-6652 |