| Dr Nagwa Khadr, MD | |
|
2120 Sarno Rd, Melbourne, FL 32935-3084 | |
| (321) 241-6800 | |
| (321) 241-6890 |
| Full Name | Dr Nagwa Khadr |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2120 Sarno Rd, Melbourne, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417905480 | NPI | - | NPPES |
| 118109400 | Medicaid | FL | |
| 4290947 | Medicaid | MI | |
| 350D410030 | Other | MI | BCBSM BCN COM BLUE CHOICE |
| 4956925 | Medicaid | MI |
| Entity Name | Brevard Health Alliance Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013355726 PECOS PAC ID: 0446201768 Enrollment ID: O20151124000192 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nagwa Khadr, MD Po Box 1137, Melbourne, FL 32902-1137 Ph: (321) 952-9696 | Dr Nagwa Khadr, MD 2120 Sarno Rd, Melbourne, FL 32935-3084 Ph: (321) 241-6800 |
Dr. Hiep Le Nguyen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1755 W Hibiscus Blvd, Melbourne, FL 32901 Phone: 321-724-5437 Fax: 321-724-5570 | |
Dr. Robert E Leiba, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1755 W Hibiscus Blvd, Melbourne, FL 32901 Phone: 321-724-5437 Fax: 321-724-5570 | |
Dr. Omar Dean Hudson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1223 Gateway Dr Ste 1g, Melbourne, FL 32901 Phone: 321-723-0072 Fax: 321-952-0850 | |
Brenda Lis Figueras, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2120 Sarno Rd, Melbourne, FL 32935 Phone: 321-241-6800 Fax: 321-241-6888 | |
Dr. Julio Daniel Vallette Jr., M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 S Hickory St, Melbourne, FL 32901 Phone: 321-434-7243 | |
Joshua Lee Dillon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 407-975-0410 Fax: 407-975-0413 | |
Ellen M Altenburg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6300 N Wickham Rd Ste 132b, Melbourne, FL 32940 Phone: 321-425-6900 Fax: 321-802-5599 |