Dr Ryan Khanna, | |
901 Macarthur Blvd, Munster, IN 46321-2901 | |
(219) 836-5167 | |
(219) 836-5249 |
Full Name | Dr Ryan Khanna |
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Gender | Male |
Speciality | Neurological Surgery |
Location | 901 Macarthur Blvd, Munster, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609267905 | NPI | - | NPPES |
300084355 | Medicaid | IN | |
1103265638 | Other | IN | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 125069015 (Illinois) | Secondary |
207T00000X | Neurological Surgery | 01092145A (Indiana) | Primary |
Entity Name | San Diego Center For Spinal Disorders Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568689354 PECOS PAC ID: 2961471289 Enrollment ID: O20041001000933 |
Mailing Address | Practice Location Address |
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Dr Ryan Khanna, 8558 Broadway, Merrillville, IN 46410-7032 Ph: (219) 392-7084 | Dr Ryan Khanna, 901 Macarthur Blvd, Munster, IN 46321-2901 Ph: (219) 836-5167 |
Dr. Wayel Kaakaji, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 801 Macarthur Blvd, Ste 405, Munster, IN 46321 Phone: 219-836-5167 Fax: 219-836-5249 | |
Marc A Levin, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 801 Macarthur Blvd, Ste 405, Munster, IN 46321 Phone: 219-836-5167 Fax: 219-836-5249 | |
Dr. Mohammad S Shukairy, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 801 Macarthur Blvd, Ste 405, Munster, IN 46321 Phone: 219-836-5167 Fax: 219-836-5249 |