| Marshal Khant, DO | |
| 2450 Riverside Ave, Minneapolis, MN 55454-1450 | |
| (612) 672-6000 | |
| Not Available | 
| Full Name | Marshal Khant | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine - Pediatric Emergency Medicine | 
| Location | 2450 Riverside Ave, Minneapolis, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1306296645 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 5101022793 (Michigan) | Secondary | 
| 207PP0204X | Emergency Medicine - Pediatric Emergency Medicine | 67677 (Minnesota) | Primary | 
| Entity Name | University Pediatricians | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1811920549 PECOS PAC ID: 9638070568 Enrollment ID: O20040115000125 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Marshal Khant, DO 345 Smith Ave N, Mail Stop 70-504, St. Paul, MN 55102-2346 Ph: () - | Marshal Khant, DO 2450 Riverside Ave, Minneapolis, MN 55454-1450 Ph: (612) 672-6000 | 
| Daniel Hart,  Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 Park Ave, Minneapolis, MN 55415 Phone: 612-873-3000 | |
| Mr. Collin Markham Cousins, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 E 28th St # Mr 11112, Minneapolis, MN 55407 Phone: 612-863-4233 | |
| Evan Smith,  Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 Park Ave, Minneapolis, MN 55415 Phone: 612-873-3000 | |
| Brenda Leech, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-863-3547 | |
| Dr. Robert Reardon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Park Ave, Minneapolis, MN 55415 Phone: 612-873-3000 | |
| Dr. Kurt Andrew Hessen, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 Park Ave, Minneapolis, MN 55415 Phone: 612-873-3000 | |
| Dr. Bar Ferents, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 Park Ave, Minneapolis, MN 55415 Phone: 612-873-3000 |