Mohammad Siddique Khan, | |
4055 Gateway Blvd, Newburgh, IN 47630-7451 | |
(812) 858-0723 | |
Not Available |
Full Name | Mohammad Siddique Khan |
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Gender | Male |
Speciality | Internal Medicine - Hematology & Oncology |
Location | 4055 Gateway Blvd, Newburgh, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376070540 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 58008291 (Ohio) | Secondary |
207RH0003X | Internal Medicine - Hematology & Oncology | 01093403A (Indiana) | Primary |
Entity Name | Regents Of The University Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881763597 PECOS PAC ID: 4284547274 Enrollment ID: O20031106000389 |
Entity Name | University Of California San Francisco |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897 |
Entity Name | Ucsf Medical Group Business Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513 |
Mailing Address | Practice Location Address |
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Mohammad Siddique Khan, 4055 Gateway Blvd, Newburgh, IN 47630-7451 Ph: () - | Mohammad Siddique Khan, 4055 Gateway Blvd, Newburgh, IN 47630-7451 Ph: (812) 858-0723 |
Dr. Robert Ernest Swaney Iii, MD, MSPH, FACP Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 3699 Epworth Rd, Newburgh, IN 47630 Phone: 812-471-1200 | |
Dr. Maruthi Srikanth Penumetsa, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 4007 Gateway Blvd # 100, Newburgh, IN 47630 Phone: 812-842-0907 Fax: 812-490-7919 | |
Dr. Frank X Pamelia, M.D. Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 4007 Gateway Blvd, Ste100, Newburgh, IN 47630 Phone: 812-842-0907 Fax: 812-490-5536 | |
Dr. Prasanna Lakshmi Yelamanchili, M.D Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 4007 Gateway Blvd, Ste 100, Newburgh, IN 47630 Phone: 812-842-0907 Fax: 812-490-7054 | |
Dr. Leslie Rae Pike Brown, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 3699 Epworth Rd, Newburgh, IN 47630 Phone: 812-471-1200 | |
Mr. Mohammad Bashar Mourad, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 9355 Warrick Trl, Newburgh, IN 47630 Phone: 270-689-1919 Fax: 270-689-1990 | |
Mr. Ashwin Sabarivijay Durairaj, M.D Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 4007 Gateway Blvd, Newburgh, IN 47630 Phone: 812-464-9133 Fax: 812-464-0559 |