Kamoliddin Khodjaev, | |
1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | |
(610) 402-8000 | |
Not Available |
Full Name | Kamoliddin Khodjaev |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 4 Years |
Location | 1200 S Cedar Crest Blvd, Allentown, Pennsylvania |
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 |
---|---|---|---|
1255944732 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN730555 (Pennsylvania) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 267930 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Banner Casa Grande Medical Center | Casa grande, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southwestern Eye Center, Ltd | 1850296989 | 102 |
Anesthesia Partners And Management Llc | 9931429198 | 129 |
Entity Name | Southwestern Eye Center, Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023063187 PECOS PAC ID: 1850296989 Enrollment ID: O20031203000181 |
Entity Name | Valley Anesthesiology Consultants Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285660704 PECOS PAC ID: 4880591841 Enrollment ID: O20031217000620 |
Entity Name | Barnet Dulaney Perkins Eye Center, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376574707 PECOS PAC ID: 0749288298 Enrollment ID: O20061117000349 |
Entity Name | Greater Anesthesia Solutions |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124430244 PECOS PAC ID: 9234357906 Enrollment ID: O20140822000525 |
Entity Name | Anesthesia Partners & Management Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336530997 PECOS PAC ID: 9931429198 Enrollment ID: O20150529000706 |
Mailing Address | Practice Location Address |
---|---|
Kamoliddin Khodjaev, 2630 Elm Hill Pike Ste 350, Nashville, TN 37214-3176 Ph: (615) 327-4304 | Kamoliddin Khodjaev, 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 Ph: (610) 402-8000 |
Marissa Romo, SRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 College Dr, Allentown, PA 18104 Phone: 610-437-4471 | |
Mark T. Peleschak, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5000 Tilghman St, Ste 240, Allentown, PA 18104 Phone: 610-395-4044 Fax: 610-395-5693 | |
Ronald S Horvat, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 24 S 18th St, Allentown, PA 18104 Phone: 610-628-8372 Fax: 610-628-8648 | |
Susan Elizabeth Abrams, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3147 College Heights Blvd, College Heights Endoscopy Center, Allentown, PA 18104 Phone: 610-841-2432 Fax: 610-841-4433 | |
Krisztina Fazio, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1200 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 610-402-8000 | |
Lisa Verbosh, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1245 S Cedar Crest Blvd Ste 301, Allentown, PA 18103 Phone: 610-402-8896 Fax: 610-402-9029 | |
Mrs. Gina Marie Chiplonia-swircek, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5100 W Tilghman St Ste 315, Allentown, PA 18104 Phone: 610-395-4044 Fax: 610-395-5693 |