| Mustafa Sardar Khan, MD | |
|
3200 Blue Ridge Rd Ste 100, Raleigh, NC 27612-8087 | |
| (919) 781-1437 | |
| (919) 787-4870 |
| Full Name | Mustafa Sardar Khan |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 15 Years |
| Location | 3200 Blue Ridge Rd Ste 100, Raleigh, North Carolina |
| 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 |
|---|---|---|---|
| 1124331582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 2015-00928 (North Carolina) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 0101271029 (Virginia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy St Vincent Medical Center | Toledo, OH | Hospital |
| Grant Medical Center | Columbus, OH | Hospital |
| Adena Regional Medical Center | Chillicothe, OH | Hospital |
| Mercer County Joint Township Community Hospital | Coldwater, OH | Hospital |
| Riverside Methodist Hospital | Columbus, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Raleigh Radiology Llc | 6305739707 | 52 |
| Columbus Radiology Corp | 6507754983 | 255 |
| Raleigh Radiology Associates Inc | 6800874611 | 56 |
| Raleigh Radiology Wakemed Imaging, Llc | 8325453459 | 49 |
| Raleigh Radiology Associates Inc | 6800874611 | 56 |
| Raleigh Radiology Associates Inc | 6800874611 | 56 |
| Raleigh Radiology Associates Inc | 6800874611 | 56 |
| Entity Name | Raleigh Radiology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952527343 PECOS PAC ID: 6305739707 Enrollment ID: O20040207000061 |
| Entity Name | Raleigh Radiology Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811920101 PECOS PAC ID: 6800874611 Enrollment ID: O20040708001403 |
| Entity Name | Columbus Radiology Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669408159 PECOS PAC ID: 6507754983 Enrollment ID: O20170501000331 |
| Entity Name | Raleigh Radiology Wakemed Imaging, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821694381 PECOS PAC ID: 8325453459 Enrollment ID: O20210223000224 |
| Entity Name | Centra Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649228966 PECOS PAC ID: 4789606088 Enrollment ID: O20231109002936 |
| Mailing Address | Practice Location Address |
|---|---|
| Mustafa Sardar Khan, MD 5220 Greens Dairy Rd, Raleigh, NC 27616-4612 Ph: (540) 493-4581 | Mustafa Sardar Khan, MD 3200 Blue Ridge Rd Ste 100, Raleigh, NC 27612-8087 Ph: (919) 781-1437 |
Dr. Teerath Peter Tanpitukpongse, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3200 Blue Ridge Rd Ste 100, Raleigh, NC 27612 Phone: 919-781-1437 Fax: 919-787-4870 | |
Dennis Martin O'donnell, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3949 Browning Pl, Raleigh, NC 27609 Phone: 919-787-8221 Fax: 919-789-4461 | |
Laura Oliver Thomas, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-7000 Fax: 919-350-8959 | |
Bryan Maclin Peters, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3949 Browning Pl, Raleigh, NC 27609 Phone: 919-787-8221 Fax: 919-789-4461 | |
Dr. Rahul Arya, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-7000 Fax: 919-350-8959 | |
Sejal Narendra Patel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Wake Forest Rd, Raleigh, NC 27609 Phone: 919-954-3700 | |
Bryce Alan Harbertson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Wake Forest Rd, Raleigh, NC 27609 Phone: 919-954-3624 |