Miss Vanna Kham, NP, RN | |
760 Broadway, Brooklyn, NY 11206-5317 | |
(646) 288-1369 | |
Not Available |
Full Name | Miss Vanna Kham |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 760 Broadway, Brooklyn, New York |
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 |
---|---|---|---|
1548545718 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | F306133-1 (New York) | Primary |
163W00000X | Registered Nurse | 579448 (New York) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Premier Healthcare Inc | 1254233158 | 49 |
Entity Name | Premier Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760436190 PECOS PAC ID: 1254233158 Enrollment ID: O20040122000144 |
Entity Name | Sun River Health Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568526838 PECOS PAC ID: 6608783568 Enrollment ID: O20040714000375 |
Entity Name | Brightpoint Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003093436 PECOS PAC ID: 6800951989 Enrollment ID: O20090225000068 |
Entity Name | Bedford Stuyvesant Family Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033178561 PECOS PAC ID: 0143361238 Enrollment ID: O20180423001743 |
Mailing Address | Practice Location Address |
---|---|
Miss Vanna Kham, NP, RN 241 Decatur St, Brooklyn, NY 11233-1704 Ph: (646) 288-1369 | Miss Vanna Kham, NP, RN 760 Broadway, Brooklyn, NY 11206-5317 Ph: (646) 288-1369 |
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