| Ali Khan Daha, MD | |
|
200 Medical Pkwy Ste 210, Lakeway, TX 78738-1793 | |
| (512) 654-1234 | |
| (512) 654-0321 |
| Full Name | Ali Khan Daha |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 17 Years |
| Location | 200 Medical Pkwy Ste 210, Lakeway, Texas |
| 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 |
|---|---|---|---|
| 1558659490 | NPI | - | NPPES |
| 1558659490 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 3510 (Wisconsin) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 3510 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Froedtert Memorial Lutheran Hospital | Milwaukee, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Medical College Of Wisconsin Inc | 2668384371 | 1902 |
| Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc | 3678760063 | 1105 |
| Entity Name | The Medical College Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| Mailing Address | Practice Location Address |
|---|---|
| Ali Khan Daha, MD 1700 W Paradise Dr, West Bend, WI 53095-9795 Ph: (262) 334-3451 | Ali Khan Daha, MD 200 Medical Pkwy Ste 210, Lakeway, TX 78738-1793 Ph: (512) 654-1234 |
Dr. Robert Lee Martin, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Pkwy, Lakeway, TX 78738 Phone: 512-571-5000 | |
Dr. Silvia Olejnikova, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 104 Sendera Bonita, Lakeway, TX 78734 Phone: 216-926-1126 | |
Gregg L Wood, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 807 Malabar St, Lakeway, TX 78734 Phone: 512-689-1699 |