| Hisham Ahmed Khadr, MD | |
|
2301 E Allegheny Ave, Northeastern Hospital, Philadelphia, PA 19134-4427 | |
| (215) 423-2376 | |
| (215) 634-4872 |
| Full Name | Hisham Ahmed Khadr |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2301 E Allegheny Ave, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881625895 | NPI | - | NPPES |
| 0011504880009 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD041099L (Pennsylvania) | Primary |
| 207R00000X | Internal Medicine | MD041099L (Pennsylvania) | Secondary |
| Entity Name | Emergency Care Services Of Pennsylvania Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114955010 PECOS PAC ID: 1759301799 Enrollment ID: O20051206000046 |
| Entity Name | Suburban Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710355029 PECOS PAC ID: 6204145642 Enrollment ID: O20151026000795 |
| Entity Name | Medical Services Of Suffolk County Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811235724 PECOS PAC ID: 8527209246 Enrollment ID: O20230922003105 |
| Entity Name | Small Hospital Innovations Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184040560 PECOS PAC ID: 0840415444 Enrollment ID: O20250113001960 |
| Mailing Address | Practice Location Address |
|---|---|
| Hisham Ahmed Khadr, MD Po Box 820956, Temple Physicians Inc, Philadelphia, PA 19182-0956 Ph: (800) 777-2455 | Hisham Ahmed Khadr, MD 2301 E Allegheny Ave, Northeastern Hospital, Philadelphia, PA 19134-4427 Ph: (215) 423-2376 |
Dr. Rika N Omalley, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 Sansom St, Suite 239, Philadelphia, PA 19107 Phone: 215-955-6844 Fax: 215-955-2526 | |
Rian John Pillitteri, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 230 N Broad St, Philadelphia, PA 19102 Phone: 215-762-7963 | |
Kenneth Kleckner, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5501 Old York Rd, Einstein Medical Center - Philadelphia, Philadelphia, PA 19141 Phone: 215-456-6679 Fax: 215-456-8502 | |
Dr. Shruti Chandra, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 Sansom St, Suite 239, Philadelphia, PA 19107 Phone: 215-955-6844 Fax: 215-955-2526 | |
Ashley Bonsu, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-316-5151 | |
Anthony Joseph Nastasi Jr., MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Ground Silverstein Bldg, Philadelphia, PA 19104 Phone: 215-662-6698 Fax: 215-662-3953 | |
Richu Raju, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1316 W Ontario St, Philadelphia, PA 19140 Phone: 215-707-9837 Fax: 215-707-3494 |