| Dr Nazanin Kheirkhahan, MD | |
|
1 Memorial Dr, Alton, IL 62002-6722 | |
| (618) 463-7240 | |
| (618) 463-7216 |
| Full Name | Dr Nazanin Kheirkhahan |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Location | 1 Memorial Dr, Alton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811568504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 036167254 (Illinois) | Primary |
| 207Q00000X | Family Medicine | 125077973 (Illinois) | Secondary |
| Entity Name | Fairview Heights Medical Group Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20040309000650 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nazanin Kheirkhahan, MD 660 Mason Ridge Center Dr Ste 300, Saint Louis, MO 63141-8512 Ph: (314) 448-3791 | Dr Nazanin Kheirkhahan, MD 1 Memorial Dr, Alton, IL 62002-6722 Ph: (618) 463-7240 |
Winnie Shaba, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7240 Fax: 618-463-7216 | |
Ahmad Osama Rez, M.D Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Anthonys Way, Alton, IL 62002 Phone: 314-317-0600 Fax: 314-317-0606 | |
Dr. John Albert Richards Jr., M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7240 Fax: 618-463-7216 | |
Dr. Sewuese Akuse, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7240 Fax: 618-463-7216 |