| Ayad Khourdaji, MD | |
|
830 S Ham Ln Ste 26, Lodi, CA 95242-7510 | |
| (209) 368-6661 | |
| (209) 333-7655 |
| Full Name | Ayad Khourdaji |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 13 Years |
| Location | 830 S Ham Ln Ste 26, Lodi, California |
| 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 |
|---|---|---|---|
| 1245594167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | A153658 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health Lodi Memorial | Lodi, CA | Hospital |
| Mark Twain Medical Center | San andreas, CA | Hospital |
| Sutter Amador Hospital | Jackson, CA | Hospital |
| Adventist Health Sonora | Sonora, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adventist Health Physicians Network | 3274580972 | 572 |
| Entity Name | Adventist Health Physicians Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063718583 PECOS PAC ID: 3274580972 Enrollment ID: O20050407000633 |
| Mailing Address | Practice Location Address |
|---|---|
| Ayad Khourdaji, MD 830 S Ham Ln Ste 26, Lodi, CA 95242-7510 Ph: (209) 368-6661 | Ayad Khourdaji, MD 830 S Ham Ln Ste 26, Lodi, CA 95242-7510 Ph: (209) 368-6661 |
N. Erick Albert, M.D. Urology Medicare: Medicare Enrolled Practice Location: 830 S Ham Ln, Suite 26, Lodi, CA 95242 Phone: 209-368-6661 Fax: 209-333-7655 | |
Nancy A. Little, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 830 S Ham Ln, Suite 26, Lodi, CA 95242 Phone: 209-368-6661 Fax: 209-333-7655 |