| Dr Ilyas Khan, MD | |
| 414 E San Bernardino Rd, Covina, CA 91723-1704 | |
| (626) 915-5181 | |
| (626) 331-2313 | 
| Full Name | Dr Ilyas Khan | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 414 E San Bernardino Rd, Covina, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1568434124 | NPI | - | NPPES | 
| 00A645070 | Medicaid | CA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | A064507 (California) | Primary | 
| Entity Name | Mountain Communities Healthcare District | 
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital | 
| Entity Identifiers | NPI Number: 1750462271 PECOS PAC ID: 9133227135 Enrollment ID: O20070613000851 | 
| Entity Name | Glendora Radiological Assoc Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1992797070 PECOS PAC ID: 2163514589 Enrollment ID: O20070815000331 | 
| Entity Name | Focus Medical Imaging | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1528299989 PECOS PAC ID: 6406999259 Enrollment ID: O20100202000905 | 
| Entity Name | Mountain Communities Healthcare District | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1407027568 PECOS PAC ID: 9133227135 Enrollment ID: O20160208000679 | 
| Entity Name | The Unity Hospital Of Rochester | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1457395766 PECOS PAC ID: 9436060969 Enrollment ID: O20200505001524 | 
| Entity Name | Rochester General Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1255360517 PECOS PAC ID: 0244149474 Enrollment ID: O20201008001164 | 
| Entity Name | United Memorial Medical Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1669747085 PECOS PAC ID: 0547259376 Enrollment ID: O20220518001984 | 
| Entity Name | Western New York Medical Practice Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1063790608 PECOS PAC ID: 3870767791 Enrollment ID: O20230929003619 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Ilyas Khan, MD Box 5010, Glendora, CA 91740-0735 Ph: (626) 915-5181 | Dr Ilyas Khan, MD 414 E San Bernardino Rd, Covina, CA 91723-1704 Ph: (626) 915-5181 | 
| Dr. William Pfisterer, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 414 E San Bernardino Rd, Covina, CA 91723 Phone: 626-915-5181 Fax: 626-331-2313 | |
| Dr. David J Underwood, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 414 E San Bernardino Rd, Covina, CA 91723 Phone: 626-915-5181 Fax: 626-915-2313 | |
| Uri Martin Zisblatt, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 210 W San Bernardino Rd, Dept Of Rad Onc, Covina, CA 91723 Phone: 626-915-6280 Fax: 626-859-5829 | |
| Geoffrey A Geiger, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 554 E San Bernardino Rd Ste 105, Covina, CA 91723 Phone: 626-331-6866 Fax: 626-331-6773 | |
| Ghada M Assassa-solh, M.D Radiology Medicare: Not Enrolled in Medicare Practice Location: 210 W San Bernardino Rd, Nuclear Medicine Dept, Covina, CA 91723 Phone: 626-915-6281 Fax: 626-859-5825 | |
| Dr. Michael Grossman, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 414 E San Bernardino Rd, Covina, CA 91723 Phone: 626-915-5181 |