| Dr Ilya L Khamishon, MD | |
|
1650 Creekside Dr Ste 170, Folsom, CA 95630-3400 | |
| (916) 986-4426 | |
| (916) 986-4434 |
| Full Name | Dr Ilya L Khamishon |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 1650 Creekside Dr Ste 170, Folsom, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275517062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | A54344 (California) | Primary |
| Entity Name | Dignity Health Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709 |
| Entity Name | Regents Of The University Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952998973 PECOS PAC ID: 8022922475 Enrollment ID: O20031118001149 |
| Entity Name | Lodi Memorial Hospital Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861649352 PECOS PAC ID: 7618880717 Enrollment ID: O20050517000577 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ilya L Khamishon, MD 3400 Data Dr, Rancho Cordova, CA 95670-7956 Ph: () - | Dr Ilya L Khamishon, MD 1650 Creekside Dr Ste 170, Folsom, CA 95630-3400 Ph: (916) 986-4426 |
Janani Kumaresan, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1700 Prairie City Rd, Folsom, CA 95630 Phone: 916-351-4800 Fax: 916-351-4889 | |
Dr. Rajeswari Jayaraman, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1650 Creekside Dr, Folsom, CA 95630 Phone: 916-986-4426 Fax: 916-986-4434 | |
Dr. Eleonor Loyola Griffith, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1611 Creekside Dr Ste 101, Folsom, CA 95630 Phone: 916-984-9004 Fax: 187-788-8030 | |
Angie Tu, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1700 Prairie City Rd, Folsom, CA 95630 Phone: 916-351-4800 Fax: 916-351-4832 | |
Dr. Johnny Nguyen, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1700 Prairie City Rd, Folsom, CA 95630 Phone: 916-351-4800 Fax: 916-351-4899 | |
Vijay P. Singh, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1650 Creekside Dr, Folsom, CA 95630 Phone: 916-983-7461 |