| Mohammed Shaezor Khan, MD | |
|
9055 Springbrook Dr Nw, Allina Medical Clinic-coon Rapids, Coon Rapids, MN 55433-5841 | |
| (763) 780-9155 | |
| Not Available |
| Full Name | Mohammed Shaezor Khan |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 25 Years |
| Location | 9055 Springbrook Dr Nw, Coon Rapids, Minnesota |
| 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 |
|---|---|---|---|
| 1649446824 | NPI | - | NPPES |
| 19276 | Other | MN | RESIDENT PERMIT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 51603 (Minnesota) | Secondary |
| 207Q00000X | Family Medicine | 036133682 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Osf Little Company Of Mary Medical Center | Evergreen park, IL | Hospital |
| Mercy Circle | Chicago, IL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammed Shaezor Khan, MD 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-5000 | Mohammed Shaezor Khan, MD 9055 Springbrook Dr Nw, Allina Medical Clinic-coon Rapids, Coon Rapids, MN 55433-5841 Ph: (763) 780-9155 |
Dr. Oladepo Collins Fasoranti, MBBS Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11475 Robinson Drive Nw - Mailstop 32600a, Healthpartners Coon Rapids Clinic, Coon Rapids, MN 55433 Phone: 763-587-9000 Fax: 763-587-9130 | |
Mark H. Brakke, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 | |
Kelly Ann Mcteague, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 | |
Alena V Marozava, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 | |
Rebecca May Mcdougle, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11475 Robinson Dr Nw, Coon Rapids, MN 55433 Phone: 763-587-9000 Fax: 763-587-9130 | |
Dr. Matthew Varner, M.D., M.P.H. Family Medicine Medicare: Medicare Enrolled Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 | |
Emily Nicole Hicke, PA Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 |