Dr Pavan Khanna, MD | |
1800 N California St, Stockton, CA 95204-6019 | |
(209) 467-6363 | |
Not Available |
Full Name | Dr Pavan Khanna |
---|---|
Gender | Male |
Speciality | Interventional Radiology |
Experience | 16 Years |
Location | 1800 N California St, Stockton, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891936795 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0204X | Radiology - Vascular & Interventional Radiology | A116085 (California) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | A116085 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph's Medical Center Of Stockton | Stockton, CA | Hospital |
Mercy Medical Center | Merced, CA | Hospital |
Doctors Hospital Of Manteca | Manteca, CA | Hospital |
Adventist Health Lodi Memorial | Lodi, CA | Hospital |
East Orange General Hospital | East orange, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Radiology And Interventional Associates Inc | 2163816448 | 44 |
Delta Radiology Inc | 5294795308 | 6 |
Advanced Radiology And Interventional Associates Inc | 2163816448 | 44 |
Entity Name | Delta Radiology Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740305846 PECOS PAC ID: 5294795308 Enrollment ID: O20041013000834 |
Entity Name | Radadvantage A Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20090917000455 |
Entity Name | Advanced Radiology And Interventional Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669123626 PECOS PAC ID: 2163816448 Enrollment ID: O20220302002290 |
Mailing Address | Practice Location Address |
---|---|
Dr Pavan Khanna, MD 1800 N California St, Stockton, CA 95204-6019 Ph: () - | Dr Pavan Khanna, MD 1800 N California St, Stockton, CA 95204-6019 Ph: (209) 467-6363 |
Dr. Daniel Scott Dietrich, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 546 E Pine St, Stockton, CA 95204 Phone: 209-467-1000 Fax: 209-464-4439 | |
Dr. Gauravjit Singh, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1901 N California St, Stockton, CA 95204 Phone: 209-946-6800 Fax: 209-946-6805 | |
Dan Vongtama, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4722 Quail Lakes Dr, Stockton, CA 95207 Phone: 209-472-1848 Fax: 209-472-0133 | |
David R. Bowen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000 | |
Dr. Henry Yick Tung Wong, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-467-6335 Fax: 209-461-5150 | |
Dr. Jack Leonard Funamura, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2320 N California St, Suite 2, Stockton, CA 95204 Phone: 209-466-2000 Fax: 209-466-2600 | |
Dr. Charles Allen Stillman, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 546 E Pine St, Stockton, CA 95204 Phone: 209-467-1000 Fax: 209-467-7335 |