| Dr Nosrat Khajavi, DO | |
|
205 W Boutz Rd Bldg 1, Las Cruces, NM 88005-3259 | |
| (575) 532-7033 | |
| (575) 532-7025 |
| Full Name | Dr Nosrat Khajavi |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 34 Years |
| Location | 205 W Boutz Rd Bldg 1, Las Cruces, New Mexico |
| 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 |
|---|---|---|---|
| 1336114370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | A-96592 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellmont Holston Valley Medical Center | Kingsport, TN | Hospital |
| Indian Path Community Hospital | Kingsport, TN | Hospital |
| Piedmont Columbus Regional Midtown | Columbus, GA | Hospital |
| Piedmont Columbus Regional Northside | Columbus, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sentry Anesthesia Management, Llc | 9436372323 | 203 |
| Paragon Anesthesia Pc | 8921044744 | 198 |
| Entity Name | Sentry Anesthesia Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134544794 PECOS PAC ID: 9436372323 Enrollment ID: O20140521002571 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nosrat Khajavi, DO 205 W Boutz Rd Bldg 1, Las Cruces, NM 88005-3259 Ph: (575) 532-7033 | Dr Nosrat Khajavi, DO 205 W Boutz Rd Bldg 1, Las Cruces, NM 88005-3259 Ph: (575) 532-7033 |
David P. Leachman, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4311 E Lohman Ave, Las Cruces, NM 88011 Phone: 575-556-7615 Fax: 575-556-7619 | |
Jeffrey J Joyce, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 205 W Boutz Rd Bldg 1, Las Cruces, NM 88005 Phone: 575-532-7000 Fax: 575-532-7025 | |
Philip Owen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 205 W. Boutz Rd. Bldg #1, Las Cruces, NM 88005 Phone: 575-532-7000 Fax: 575-556-7131 | |
Dr. Llewelyn Anthony Williams, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2170 E Lohman Ave, Suite C, Las Cruces, NM 88001 Phone: 575-449-7002 Fax: 575-652-4684 | |
Vernon P. Goldsworthy, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 205 W Boutz Rd, Bldg #1, Las Cruces, NM 88005 Phone: 575-532-7000 | |
Alfredo Schavz, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 205 W. Boutz Rd. Bldg #1, Las Cruces, NM 88005 Phone: 575-532-7000 Fax: 575-532-7006 |