| Dr Khaled Almansoori, MD, MED, MBBCH | |
|
6701 W 95th St, Oak Lawn, IL 60453-2105 | |
| (708) 599-5000 | |
| (708) 599-0801 |
| Full Name | Dr Khaled Almansoori |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 6701 W 95th St, Oak Lawn, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437556024 | NPI | - | NPPES |
| MD042563 | Other | DC | WASHINGTON DC MEDICAL LICENSE NUMBER |
| W14092132C | Other | DC | WASHINGTON DRUG REGISTRATION CONTROL NUMBER |
| 036150671 | Other | IL | IL MEDICAL LICENSE NUMBER |
| 292542 | Other | NY | NY MEDICAL LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | MD042563 (District Of Columbia) | Primary |
| Entity Name | Aa Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093150385 PECOS PAC ID: 7315170172 Enrollment ID: O20140501000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Khaled Almansoori, MD, MED, MBBCH 5 Brewster St, Glen Cove, NY 11542-2549 Ph: (929) 442-3181 | Dr Khaled Almansoori, MD, MED, MBBCH 6701 W 95th St, Oak Lawn, IL 60453-2105 Ph: (708) 599-5000 |
Harun Durudogan, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4061 W 95th St, Oak Lawn, IL 60453 Phone: 708-229-0101 Fax: 708-229-0090 | |
Dr. David J Fralinger, Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 9555 S 52nd Ave, Oak Lawn, IL 60453 Phone: 708-684-5473 | |
Dr. Jose R. Perez-sanz, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 6701 W 95th St, Suite 6581, Oak Lawn, IL 60453 Phone: 708-599-5000 Fax: 708-599-5000 | |
Emily Meredith Mayekar, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4220 W 95th St Ste 100, Oak Lawn, IL 60453 Phone: 708-226-3300 Fax: 708-226-3500 | |
Dr. Shane S Mehta, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4061 W 95th St, Oak Lawn, IL 60453 Phone: 708-229-0101 Fax: 708-229-0090 | |
Michael Luis Redondo, MD Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 4220 W 95th St Ste 100, Oak Lawn, IL 60453 Phone: 708-226-3300 Fax: 708-226-3500 |