| Adeel Khan, MD | |
|
415 W Wackerly St, Midland, MI 48640-2761 | |
| (989) 837-6505 | |
| (989) 835-8428 |
| Full Name | Adeel Khan |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 34 Years |
| Location | 415 W Wackerly St, Midland, Michigan |
| 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 |
|---|---|---|---|
| 1467481465 | NPI | - | NPPES |
| 1006835 | Other | MI | MCLAREN HEALTH PLAN |
| 1011192 | Other | MI | MCLAREN HEALTH PLAN |
| 1032653 | Other | MI | MCLAREN |
| 200000014300 | Other | MI | PHP COML. |
| 4584928 | Medicaid | MI | |
| 1105610461 | Other | MI | BCBSM |
| 0989454 | Other | MI | HEALTHPLUS COMMERCIAL |
| 200000005783 | Other | MI | PHP COMMERCIAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 4301062170 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Davita - Midland Dialysis | Midland, MI | Dialysis facility |
| Davita - Gladwin Dialysis | Gladwin, MI | Dialysis facility |
| Davita - Gaylord Dialysis | Gaylord, MI | Dialysis facility |
| Davita - Grayling Home Training | Grayling, MI | Dialysis facility |
| Davita - Roscommon Dialysis | Roscommon, MI | Dialysis facility |
| Midmichigan Medical Center-midland | Midland, MI | Hospital |
| Midmichigan Medical Center-clare | Clare, MI | Hospital |
| Midmichigan Medical Center - Alpena | Alpena, MI | Hospital |
| Midmichigan Medical Center-gladwin | Gladwin, MI | Hospital |
| Covenant Medical Center | Saginaw, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Renal Associates Of Mid-michigan Pc | 3072684638 | 3 |
| Entity Name | Renal Associates Of Mid-michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194911941 PECOS PAC ID: 3072684638 Enrollment ID: O20080625000537 |
| Mailing Address | Practice Location Address |
|---|---|
| Adeel Khan, MD 415 W Wackerly St, Midland, MI 48640-2761 Ph: (989) 837-6505 | Adeel Khan, MD 415 W Wackerly St, Midland, MI 48640-2761 Ph: (989) 837-6505 |
Stephen J Mattichak, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2660 W Sugnet Rd, Midland, MI 48640 Phone: 989-832-0900 Fax: 989-633-0349 | |
Waleed H Doghmi, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 301 W Wackerly St, Midland, MI 48640 Phone: 989-832-0900 Fax: 989-633-0349 | |
Dr. Subramanyam Yadam, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4201 Campus Ridge Drive, Midland, MI 48640 Phone: 989-488-5450 Fax: 989-488-5455 | |
John Blamoun, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4201 Campus Ridge Drive, Midland, MI 48640 Phone: 989-488-5450 Fax: 989-488-5455 | |
Andrzej S. Boguszewski, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 301 W Wackerly St, Midland, MI 48640 Phone: 989-832-0900 | |
Sharon Agnes Levandowski, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4201 Campus Ridge Dr, Midland, MI 48640 Phone: 989-839-6188 Fax: 989-839-6221 | |
Dr. Santiago Fabian Moscoso Martinez, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4201 Campus Ridge Dr, Midland, MI 48640 Phone: 989-839-6188 Fax: 989-839-6221 |