| Anwar M Khan, MD | |
|
536 Saybrook Rd, Middletown, CT 06457-4783 | |
| (860) 358-2100 | |
| (860) 358-2110 |
| Full Name | Anwar M Khan |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 30 Years |
| Location | 536 Saybrook Rd, Middletown, Connecticut |
| 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 |
|---|---|---|---|
| 1366431967 | NPI | - | NPPES |
| 004000121 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0203X | Radiology - Therapeutic Radiology | 041428 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Middlesex Hospital | Middletown, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Connecticut Radiation Oncology Pc | 5395847966 | 7 |
| Entity Name | Central Connecticut Radiation Oncology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902962905 PECOS PAC ID: 5395847966 Enrollment ID: O20070228000322 |
| Entity Name | Central Connecticut Radiation Oncology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841336849 PECOS PAC ID: 5395847966 Enrollment ID: O20070228000606 |
| Entity Name | Radiation Oncology Physicians Of Connecticut Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346665346 PECOS PAC ID: 3274750872 Enrollment ID: O20140805001657 |
| Mailing Address | Practice Location Address |
|---|---|
| Anwar M Khan, MD 760 Saybrook Rd, Middletown, CT 06457-4785 Ph: () - | Anwar M Khan, MD 536 Saybrook Rd, Middletown, CT 06457-4783 Ph: (860) 358-2100 |
Joseph C Sala, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 28 Crescent St, Middletown, CT 06457 Phone: 860-358-6000 Fax: 860-358-6071 | |
Dena Miller, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 28 Crescent St, Middletown, CT 06457 Phone: 860-358-6000 Fax: 860-358-6071 | |
Dr. Ravi Jain, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 28 Crescent St, Middlesex Hospital, Middletown, CT 06457 Phone: 860-344-6293 Fax: 860-344-6071 | |
Mr. Erik G Pingoud, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 28 Crescent St, Middlesex Hospital, Middletown, CT 06457 Phone: 860-344-6293 Fax: 860-344-6071 | |
Dr. Michael Crain, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 28 Crescent St, Middlesex Hospital, Middletown, CT 06457 Phone: 860-344-6293 Fax: 860-344-6071 | |
Mr. Jeffrey H Takahashi, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 28 Crescent St, Middlesex Hospital, Middletown, CT 06457 Phone: 860-344-6293 Fax: 860-344-6071 | |
Dr. Leonard Stoane, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 435 Kelsey St, Middletown, CT 06457 Phone: 860-347-7896 |