Dr Amy Rachelle A Teleron-khorshad, MD | |
10 Woodlake Trl Ste C, Mount Vernon, OH 43050-9573 | |
(740) 392-7337 | |
(740) 392-7333 |
Full Name | Dr Amy Rachelle A Teleron-khorshad |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 10 Woodlake Trl Ste C, Mount Vernon, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184943680 | NPI | - | NPPES |
0135977 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 35126775 (Ohio) | Primary |
Entity Name | Childrens Community Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386031896 PECOS PAC ID: 5092047084 Enrollment ID: O20191023003502 |
Mailing Address | Practice Location Address |
---|---|
Dr Amy Rachelle A Teleron-khorshad, MD 10 Woodlake Trl Ste C, Mount Vernon, OH 43050-9573 Ph: (740) 392-7337 | Dr Amy Rachelle A Teleron-khorshad, MD 10 Woodlake Trl Ste C, Mount Vernon, OH 43050-9573 Ph: (740) 392-7337 |
Kamal Reza Talukder, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1330 Coshocton Ave, Mount Vernon, OH 43050 Phone: 740-393-9000 Fax: 740-392-0167 | |
Dr. Margaret D Somple, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1330 Coshocton Ave, Mount Vernon, OH 43050 Phone: 740-393-9000 Fax: 740-392-0167 | |
Lee Steven Hornstein, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10 Woodlake Trl, Suite C, Mount Vernon, OH 43050 Phone: 740-392-7337 Fax: 740-392-7333 | |
Svetlana G Titishina, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1330 Coshocton Ave, Mount Vernon, OH 43050 Phone: 740-393-9000 Fax: 740-392-0167 |