Mukarram Ali Khan, DO | |
200 Medical Center Dr Ste 325, Middletown, OH 45005-5178 | |
(513) 708-7620 | |
(513) 705-7065 |
Full Name | Mukarram Ali Khan |
---|---|
Gender | Male |
Speciality | Anesthesiology - Pain Medicine |
Location | 200 Medical Center Dr Ste 325, Middletown, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851409122 | NPI | - | NPPES |
7100217010 | Medicaid | KY | |
000000488997 | Other | OH | ANTHEM |
2679703 | Medicaid | OH | |
7001837 | Other | OH | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP2900X | Anesthesiology - Pain Medicine | 34.008823 (Ohio) | Primary |
Entity Name | Premier Health Specialists Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194958223 PECOS PAC ID: 5597708594 Enrollment ID: O20050610000010 |
Entity Name | Pain Specialists Of Cincinnati Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558740282 PECOS PAC ID: 3870809023 Enrollment ID: O20150902001208 |
Mailing Address | Practice Location Address |
---|---|
Mukarram Ali Khan, DO 3170 Kettering Blvd Bldg B, Moraine, OH 45439-1924 Ph: (937) 991-3188 | Mukarram Ali Khan, DO 200 Medical Center Dr Ste 325, Middletown, OH 45005-5178 Ph: (513) 708-7620 |
Diana M Ledford, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Middletown, OH 45005 Phone: 513-974-2111 | |
Dr. Thomas R Ware, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 105 Mcknight Dr, Middletown, OH 45044 Phone: 513-424-2111 Fax: 513-420-5662 | |
Mr. Robert Dickey, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 295 N Breiel Blvd, Middletown, OH 45042 Phone: 513-425-0930 Fax: 513-425-0960 | |
Dr. Victor T Nicolas, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 105 Mcknight Drive, Middletown, OH 45044 Phone: 513-424-2111 Fax: 513-420-5662 | |
Dr. Howard A Seitzman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Middletown, OH 45005 Phone: 513-420-5165 Fax: 513-705-4724 |