| Mahboob Ali Khan, MD | |
|
3571 W Wheatland Rd, Ste 101, Dallas, TX 75237-3461 | |
| (972) 274-5555 | |
| (972) 274-5563 |
| Full Name | Mahboob Ali Khan |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 28 Years |
| Location | 3571 W Wheatland Rd, Dallas, Texas |
| 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 |
|---|---|---|---|
| 1508834599 | NPI | - | NPPES |
| 051541255 | Other | AL | BLUE CROSS |
| 819381 | Other | PA | FIRST PRIORITY HEALTH |
| 051541252 | Other | AL | BLUE CROSS |
| 009910049 | Medicaid | AL | |
| 009910051 | Medicaid | AL | |
| I38194 | Other | PA | HEALTHAMERICA |
| P00244719 | Other | PA | RAILROAD MEDICARE |
| 1751916 | Other | PA | HIGHMARK BLUE SHIELD |
| 009910050 | Medicaid | AL | |
| 101349604 | Medicaid | PA | |
| 051541253 | Other | AL | BLUE CROSS |
| 7711714 | Other | PA | AETNA |
| Facility Name | Location | Facility Type |
|---|---|---|
| Liberty Dialysis - Waxahachie | Waxahachie, TX | Dialysis facility |
| Baylor Scott & White Medical Center- Waxahachie | Waxahachie, TX | Hospital |
| Methodist Mansfield Medical Center | Mansfield, TX | Hospital |
| Texas Health Harris Methodist Hospital Fort Worth | Fort worth, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dallas Renal Group, P.a. | 0244277283 | 41 |
| Healthtexas Provider Network | 1355254210 | 2048 |
| Texas Health Physicians Group | 4385535954 | 1232 |
| Lonestar Hospital Medicine Associates Pa | 6709049703 | 113 |
| Entity Name | Texas Health Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114395969 PECOS PAC ID: 4385535954 Enrollment ID: O20040323000759 |
| Entity Name | Healthtexas Provider Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187 |
| Entity Name | Dallas Renal Group, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629186168 PECOS PAC ID: 0244277283 Enrollment ID: O20050412000582 |
| Entity Name | Lonestar Hospital Medicine Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518237429 PECOS PAC ID: 6709049703 Enrollment ID: O20120530000620 |
| Mailing Address | Practice Location Address |
|---|---|
| Mahboob Ali Khan, MD 3571 W Wheatland Rd, Ste 101, Dallas, TX 75237-3461 Ph: (972) 274-5555 | Mahboob Ali Khan, MD 3571 W Wheatland Rd, Ste 101, Dallas, TX 75237-3461 Ph: (972) 274-5555 |
Uma B.r.k Pakkivenkata, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9900 N Central Expy Ste 215, Dallas, TX 75231 Phone: 214-396-4950 Fax: 877-423-5360 | |
Dr. Ariel Marcelo Modrykamien, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3600 Gaston Ave, Wadley Tower, Suite 960, Dallas, TX 75246 Phone: 402-972-6078 | |
Benjamin Seth Martinez, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-3111 Fax: 214-648-5461 | |
Vijaya Mummadi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9900 N Central Expy Ste 225, Dallas, TX 75231 Phone: 469-646-8880 Fax: 469-646-8884 | |
Ting-yi Chen, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-645-2800 Fax: 214-645-2808 | |
William Cook Langmade, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1441 N Beckley Ave, Dallas, TX 75203 Phone: 214-947-2306 | |
Jacqueline Nicole Horst, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 221 W Colorado Blvd Ste 525, Dallas, TX 75208 Phone: 214-960-5681 |