| Amtullah Khan, MD | |
|
112 Tradepark Dr, Somerset, KY 42503-3424 | |
| (606) 451-3755 | |
| (606) 451-3576 |
| Full Name | Amtullah Khan |
|---|---|
| Gender | Female |
| Speciality | Radiation Oncology |
| Experience | 45 Years |
| Location | 112 Tradepark Dr, Somerset, Kentucky |
| 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 |
|---|---|---|---|
| 1518967587 | NPI | - | NPPES |
| 000000220075 | Other | KY | ANTHEM PIN |
| 2400015 | Other | KY | UNITED HEALTHCARE PIN |
| 64276223 | Medicaid | KY | |
| 043623469 | Other | KY | HUMANA PIN |
| 043623469 | Other | KY | CHA PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 27622 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Cumberland Regional Hospital | Somerset, KY | Hospital |
| University Of Kentucky Hospital | Lexington, KY | Hospital |
| Entity Name | Cumberland Radiation Oncology, Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518967868 PECOS PAC ID: 6305862020 Enrollment ID: O20051021000028 |
| Entity Name | Baptist Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922401611 PECOS PAC ID: 5597867184 Enrollment ID: O20150219000942 |
| Mailing Address | Practice Location Address |
|---|---|
| Amtullah Khan, MD 112 Tradepark Dr, Somerset, KY 42503-3424 Ph: (606) 451-3755 | Amtullah Khan, MD 112 Tradepark Dr, Somerset, KY 42503-3424 Ph: (606) 451-3755 |
Mr. Terry D Vito Jr., RDCS Radiology Medicare: Not Enrolled in Medicare Practice Location: 149 Whisper Woods Dr, Somerset, KY 42503 Phone: 606-305-7317 | |
Dr. Michael Alan Marks, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 305 Langdon St, Somerset, KY 42503 Phone: 606-679-7441 Fax: 606-678-9919 | |
William M Baker, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 305 Langdon St, Somerset, KY 42503 Phone: 606-679-7441 Fax: 606-678-9919 | |
Steven M Eberly, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 305 Langdon St, Somerset, KY 42503 Phone: 606-679-7441 Fax: 606-678-9919 | |
Jacilyn Brainard, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 305 Langdon St, Somerset, KY 42503 Phone: 606-679-7441 |