Samira Khera, MD | |
40 Hurley Avenue, Suite 11, Kingston, NY 12401-3738 | |
(845) 338-8680 | |
(845) 338-8693 |
Full Name | Samira Khera |
---|---|
Gender | Female |
Speciality | Surgery |
Location | 40 Hurley Avenue, Kingston, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477644003 | NPI | - | NPPES |
03079458 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 35716 (Arizona) | Secondary |
2086X0206X | Surgery - Surgical Oncology | 250995 (New York) | Secondary |
208600000X | Surgery | 250995 (New York) | Primary |
Entity Name | Rochester General Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644 |
Entity Name | Western New York Medical Practice Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063790608 PECOS PAC ID: 3870767791 Enrollment ID: O20111110000598 |
Mailing Address | Practice Location Address |
---|---|
Samira Khera, MD 40 Hurley Avenue, Suite 11, Kingston, NY 12401-3738 Ph: (845) 338-8680 | Samira Khera, MD 40 Hurley Avenue, Suite 11, Kingston, NY 12401-3738 Ph: (845) 338-8680 |
Dr. Jeffrey E. Hatter, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 117 Marys Ave, Suite 201, Kingston, NY 12401 Phone: 845-331-5826 Fax: 845-331-0438 | |
Jamal Mahdavian, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 40 Hurley Ave Suite 5, Kingston, NY 12401 Phone: 845-338-9488 Fax: 845-338-6774 | |
Dr. Melissa D Shah, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 117 Marys Ave, Suite 202, Kingston, NY 12401 Phone: 845-338-1992 Fax: 845-338-1614 | |
Dr. James M. Feeney, MD, FACS Surgery Medicare: Accepting Medicare Assignments Practice Location: 117 Marys Ave, Kingston, NY 12401 Phone: 845-383-1759 | |
Dr. Marcel Kleber Tafen Wandji, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 396 Broadway, Kingston, NY 12401 Phone: 845-331-3131 | |
Richard Milhous Wood, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 40 Hurley Ave, Suite 3, Kingston, NY 12401 Phone: 845-546-3403 Fax: 866-844-7209 |