| Dr Khaled Dajani, MD | |
|
300 E Boyd Ave Ste 201, Greenfield, IN 46140-2818 | |
| (317) 462-5112 | |
| Not Available |
| Full Name | Dr Khaled Dajani |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 30 Years |
| Location | 300 E Boyd Ave Ste 201, Greenfield, Indiana |
| 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 |
|---|---|---|---|
| 1548294929 | NPI | - | NPPES |
| 036098490 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 01061890A (Indiana) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 036098490 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Loyola University Medical Center | Maywood, IL | Hospital |
| Gottlieb Memorial Hospital | Melrose park, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Loyola University Medical Center | 3779488903 | 926 |
| Entity Name | Loyola University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Khaled Dajani, MD 5405 N Knoxville Ave, Peoria, IL 61614-5016 Ph: (309) 691-4410 | Dr Khaled Dajani, MD 300 E Boyd Ave Ste 201, Greenfield, IN 46140-2818 Ph: (317) 462-5112 |
Kerri A. Kissell, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Sq Ste 2200, Greenfield, IN 46140 Phone: 317-462-6662 Fax: 317-468-6275 | |
Thomas L Whittaker, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: One Memorial Sq, Ste 50, Greenfield, IN 46140 Phone: 317-467-7100 Fax: 317-467-0209 | |
Thomas Jay Failinger, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 300 E Boyd Ave Ste 201, Greenfield, IN 46140 Phone: 317-462-5112 | |
Charles R Taylor, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 300 E Boyd Ave Ste 201, Greenfield, IN 46140 Phone: 317-462-5112 Fax: 317-462-5122 | |
Dr. Stephen J. Flink, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 300 E Boyd Ave Ste 120, Greenfield, IN 46140 Phone: 317-462-3441 Fax: 317-477-6316 | |
Bryce S Lynn, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 300 E Boyd Ave Ste 201, Greenfield, IN 46140 Phone: 317-462-5112 | |
Drew Dust, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Sq Ste 2200, Greenfield, IN 46140 Phone: 317-462-6662 Fax: 317-468-6275 |