Llc | |
835 W Chester Pike West Chester PA 19382-4863 | |
(800) 528-0006 | |
(732) 349-6030 |
Full Name | Llc |
---|---|
Speciality | Internal Medicine |
Location | 835 W Chester Pike, West Chester, Pennsylvania |
Authorized Official Name and Position | Shabih Khan (PRESIDENT) |
Authorized Official Contact | 6107382545 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Llc Po Box 427 Lederach PA 19450-0427 Ph: (800) 528-0006 | Llc 835 W Chester Pike West Chester PA 19382-4863 Ph: (800) 528-0006 |
NPI Number | 1295764843 |
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Provider Enumeration Date | 07/03/2006 |
Last Update Date | 10/10/2012 |
Medicare PECOS PAC ID | 6800834904 |
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Medicare Enrollment ID | O20050420000010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295764843 | NPI | - | NPPES |
0019195250001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Shabih U Khan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578571063 PECOS PAC ID: 7315045689 Enrollment ID: I20070611000200 |
Main Line Family Medicine Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1450 E Boot Rd, Ste. 200a, West Chester, PA 19380 Phone: 610-296-2760 | |
Susan Dallas-feeney, D.o., Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 42-46 East Strreet Road, West Chester, PA 19382 Phone: 610-399-1100 Fax: 610-399-1393 | |
Lyons Chvala Nephrology Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 419 N Franklin St Ste 3, West Chester, PA 19380 Phone: 610-696-4956 Fax: 610-696-5263 | |
Helise Bichefsky, Do Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 600 E Marshall St, Suite 303, West Chester, PA 19380 Phone: 610-436-1584 Fax: 610-436-9057 | |
Ira M Thal, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1615 E Boot Rd, West Chester, PA 19380 Phone: 610-692-7766 Fax: 610-918-9065 | |
Tppw. Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1502 W Chester Pike Ste 32, West Chester, PA 19382 Phone: 484-381-0351 Fax: 610-672-7174 | |
Ellis & Sitkoff Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 839 Lincoln Ave Ste A, West Chester, PA 19380 Phone: 610-241-0305 |