Shireen Enette Khan, MD | |
1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1911 | |
(253) 761-4200 | |
(253) 383-3553 |
Full Name | Shireen Enette Khan |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 31 Years |
Location | 1304 Fawcett Ave, Tacoma, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801969886 | NPI | - | NPPES |
126222 | Other | WA | LABOR AND INDUSTRIES/WC TRA |
300095008 | Other | WA | RR MEDICARE UNION AVENUE OPEN |
G8927711 | Other | WA | PTAN-UAOM |
KH8284 | Other | WA | REGENCE BLUE SHIELD TRA |
8238743 | Medicaid | WA | |
G8882898 | Other | WA | PTAN-MIO1 |
0249541 | Other | WA | LABOR AND INDUSTRIES-MEDICAL IMAGING ON 1ST |
157409 | Other | WA | LABOR AND INDUSTRIES/WC UNION AVENUE OPEN |
300095009 | Other | WA | RR MEDICARE TRA |
AB36525 | Other | WA | MEDICARE PIN TRA KING COUNTY |
7252KH | Other | WA | REGENCE BLUE SHIELD UNION AVENUE OPEN |
8951843 | Other | WA | LABOR AND INDUSTRIES CRIME VICTIMS-MEDICAL IMAGING ON 1ST |
AB34171 | Other | WA | MEDICARE PIN UNION AVE OPEN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 00027513 (Washington) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | MD00036228 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Multicare Good Samaritan Hospital | Puyallup, WA | Hospital |
Tacoma General Allenmore Hospital | Tacoma, WA | Hospital |
St Joseph Medical Center | Tacoma, WA | Hospital |
St Francis Community Hospital | Federal way, WA | Hospital |
St Anthony Hospital | Gig harbor, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tra-minw P S | 2163316167 | 127 |
Tra-minw P S | 2163316167 | 127 |
Entity Name | Radia Inc P S |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932196607 PECOS PAC ID: 9931012812 Enrollment ID: O20031106000749 |
Entity Name | Tra-minw P S |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396814166 PECOS PAC ID: 2163316167 Enrollment ID: O20040211000326 |
Entity Name | Union Avenue Open Mri Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568531242 PECOS PAC ID: 5597652917 Enrollment ID: O20040301001189 |
Entity Name | Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083802946 PECOS PAC ID: 3375603970 Enrollment ID: O20081126000315 |
Mailing Address | Practice Location Address |
---|---|
Shireen Enette Khan, MD Po Box 1535, Tacoma, WA 98401-1535 Ph: (253) 761-4200 | Shireen Enette Khan, MD 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1911 Ph: (253) 761-4200 |
Dr. Yuyao Zhang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4201 Fax: 253-761-4201 | |
Mark Ranier Dalisay, Radiology Medicare: Not Enrolled in Medicare Practice Location: 7520 S I St, Tacoma, WA 98408 Phone: 702-305-1889 | |
Dr. Joel Thomas Mcfarland, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 Fax: 253-596-3301 | |
Dr. Jana Lynn Fahmy, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4200 Fax: 253-761-4201 | |
Dr. Scott Randall Henneman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4200 Fax: 253-761-4201 | |
Dr. Mark Gerard O'callaghan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 | |
Dr. Joseph Tsai, MD, PHD Radiology Medicare: Medicare Enrolled Practice Location: 1003 S 5th St, Tacoma, WA 98405 Phone: 253-403-4994 Fax: 253-403-4991 |