Beenish Kiran Khwaja, DO | |
24988 Se Stark St Ste 320, Gresham, OR 97030-8325 | |
(503) 413-7067 | |
Not Available |
Full Name | Beenish Kiran Khwaja |
---|---|
Gender | Female |
Speciality | Neurology |
Experience | 17 Years |
Location | 24988 Se Stark St Ste 320, Gresham, Oregon |
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 |
---|---|---|---|
1487854329 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | DO157968 (Oregon) | Secondary |
2084S0012X | Psychiatry & Neurology - Sleep Medicine | DO157968 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Legacy Mount Hood Medical Center | Gresham, OR | Hospital |
Legacy Meridian Park Medical Center | Tualatin, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Clinics Llc | 0244144004 | 603 |
Entity Name | Legacy Clinics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
Entity Name | Legacy Emanuel Hospital & Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831112358 PECOS PAC ID: 4587573639 Enrollment ID: O20040127001204 |
Entity Name | Legacy Mount Hood Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386919132 PECOS PAC ID: 3173515996 Enrollment ID: O20040401000550 |
Mailing Address | Practice Location Address |
---|---|
Beenish Kiran Khwaja, DO 8822 Se Northern Heights Ct, Happy Valley, OR 97086 Ph: (503) 998-1430 | Beenish Kiran Khwaja, DO 24988 Se Stark St Ste 320, Gresham, OR 97030-8325 Ph: (503) 413-7067 |
Lewis W Sprunger, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1550 Nw Eastman Pkwy, 100, Gresham, OR 97030 Phone: 503-571-0725 Fax: 503-571-0720 | |
Dr. Hiren T Rana, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4101 Ne Division St, Gresham, OR 97030 Phone: 503-669-7321 Fax: 503-669-7450 |