| Ragheed Katkhuda, MD | |
| 3535 Southern Blvd, Kettering, OH 45429-1221 | |
| (937) 752-2304 | |
| (937) 522-7620 | 
| Full Name | Ragheed Katkhuda | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics - Neonatal-perinatal Medicine | 
| Location | 3535 Southern Blvd, Kettering, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1003087982 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 35.128960 (Ohio) | Primary | 
| Entity Name | Children's Hospital Medical Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1609915784 PECOS PAC ID: 8426955733 Enrollment ID: O20031216000035 | 
| Entity Name | Mercy Health Physicians North Specialty Care Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1306468418 PECOS PAC ID: 1951707884 Enrollment ID: O20210901001534 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ragheed Katkhuda, MD 3535 Southern Blvd, Kettering, OH 45429-1221 Ph: (937) 752-2304 | Ragheed Katkhuda, MD 3535 Southern Blvd, Kettering, OH 45429-1221 Ph: (937) 752-2304 | 
| Dr. Loren Ann Nallu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-752-2304 Fax: 937-522-7620 | |
| Jennifer Marie Conlon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5450 Far Hills Ave Ste 110, Kettering, OH 45429 Phone: 937-436-2866 Fax: 937-436-1468 | |
| Phyllis R Elinson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1775 Delco Park Drive, Kettering, OH 45420 Phone: 937-299-2587 Fax: 937-299-0124 | |
| Wendy L Blumberg, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1775 Delco Park Drive, Kettering, OH 45420 Phone: 937-299-2587 Fax: 937-299-0124 | |
| James A. Bryant, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1775 Delco Park Drive, Kettering, OH 45420 Phone: 937-299-2587 Fax: 937-299-0124 | |
| Dr. Angela Lynne Isbel, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-752-2304 Fax: 937-395-8814 |