| Herkanwal S Khaira, MD | |
|
1860 Pennsylvania Ave Ste 200, 200, Fairfield, CA 94533-3550 | |
| (707) 646-4180 | |
| (707) 646-4181 |
| Full Name | Herkanwal S Khaira |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 26 Years |
| Location | 1860 Pennsylvania Ave Ste 200, Fairfield, California |
| 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 |
|---|---|---|---|
| 1073691564 | NPI | - | NPPES |
| 1073691564 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | A95113 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northbay Medical Center | Fairfield, CA | Hospital |
| Queen Of The Valley Medical Center | Napa, CA | Hospital |
| Adventist Health St Helena | Saint helena, CA | Hospital |
| John Muir Medical Center - Walnut Creek Campus | Walnut creek, CA | Hospital |
| Sonoma Valley Hospital | Sonoma, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northbay Healthcare Group | 0042122244 | 293 |
| Entity Name | Northbay Healthcare Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821147786 PECOS PAC ID: 0042122244 Enrollment ID: O20031105000409 |
| Entity Name | State Of California - Department Of Developmental Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154372498 PECOS PAC ID: 4082788732 Enrollment ID: O20081114000496 |
| Mailing Address | Practice Location Address |
|---|---|
| Herkanwal S Khaira, MD 1860 Pennsylvania Ave Ste 200, 200, Fairfield, CA 94533-3550 Ph: (707) 646-4180 | Herkanwal S Khaira, MD 1860 Pennsylvania Ave Ste 200, 200, Fairfield, CA 94533-3550 Ph: (707) 646-4180 |
Mark R Susskind, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1234 Empire St, Fairfield, CA 94533 Phone: 707-426-3911 Fax: 707-434-2043 | |
Dr. John David Anderson, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 4469 Green Valley Road, Fairfield, CA 94534 Phone: 707-864-8188 Fax: 707-864-8188 |