| S Khan Psychiatric Care Inc | |
|
5604 Winding Cape Way Mason OH 45040-5032 | |
| (513) 339-0786 | |
| (513) 791-7800 |
| Full Name | S Khan Psychiatric Care Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5604 Winding Cape Way, Mason, Ohio |
| Authorized Official Name and Position | Sumera T Khan (PRESIDENT) |
| Authorized Official Contact | 5133390786 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| S Khan Psychiatric Care Inc 5604 Winding Cape Way Mason OH 45040-5032 Ph: () - | S Khan Psychiatric Care Inc 5604 Winding Cape Way Mason OH 45040-5032 Ph: (513) 339-0786 |
| NPI Number | 1508223520 |
|---|---|
| Provider Enumeration Date | 01/21/2016 |
| Last Update Date | 09/25/2024 |
| Certification Date | 09/25/2024 |
| Medicare PECOS PAC ID | 3072818590 |
|---|---|
| Medicare Enrollment ID | O20160222001695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508223520 | NPI | - | NPPES |
| 0156378 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35084372 (Ohio) | Primary |
| Provider Name | Sumera Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508051277 PECOS PAC ID: 1153407382 Enrollment ID: I20080327000508 |
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