| Kamal Reza Talukder, MD | |
|
1330 Coshocton Ave, Mount Vernon, OH 43050 | |
| (740) 393-9000 | |
| (740) 392-0167 |
| Full Name | Kamal Reza Talukder |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1330 Coshocton Ave, Mount Vernon, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154316289 | NPI | - | NPPES |
| 0423643 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 35-07-1563-T (Ohio) | Primary |
| Entity Name | Knox Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154483022 PECOS PAC ID: 1153301833 Enrollment ID: O20040722001173 |
| Entity Name | Incare Health Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235422403 PECOS PAC ID: 5092980730 Enrollment ID: O20111208000530 |
| Mailing Address | Practice Location Address |
|---|---|
| Kamal Reza Talukder, MD 1330 Coshocton Ave, Mount Vernon, OH 43050 Ph: (740) 393-9000 | Kamal Reza Talukder, MD 1330 Coshocton Ave, Mount Vernon, OH 43050 Ph: (740) 393-9000 |
Dr. Amy Rachelle A Teleron-khorshad, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10 Woodlake Trl Ste C, Mount Vernon, OH 43050 Phone: 740-392-7337 Fax: 740-392-7333 | |
Dr. Margaret D Somple, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1330 Coshocton Ave, Mount Vernon, OH 43050 Phone: 740-393-9000 Fax: 740-392-0167 | |
Lee Steven Hornstein, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10 Woodlake Trl, Suite C, Mount Vernon, OH 43050 Phone: 740-392-7337 Fax: 740-392-7333 | |
Svetlana G Titishina, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1330 Coshocton Ave, Mount Vernon, OH 43050 Phone: 740-393-9000 Fax: 740-392-0167 |