| Showkat Hayat Khan, | |
|
1101 9th St N, Virginia, MN 55792-2329 | |
| (218) 741-0150 | |
| Not Available |
| Full Name | Showkat Hayat Khan |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1101 9th St N, Virginia, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588698237 | NPI | - | NPPES |
| 320440500 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 47222 (Minnesota) | Primary |
| Entity Name | The Duluth Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
| Entity Name | Northern Pines Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639278609 PECOS PAC ID: 3870565641 Enrollment ID: O20040811000988 |
| Entity Name | Essentia Health Virginia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083617120 PECOS PAC ID: 7810149002 Enrollment ID: O20130306000467 |
| Mailing Address | Practice Location Address |
|---|---|
| Showkat Hayat Khan, 1101 9th St N, Virginia, MN 55792-2329 Ph: (218) 741-0150 | Showkat Hayat Khan, 1101 9th St N, Virginia, MN 55792-2329 Ph: (218) 741-0150 |
Lisa Ann Seeber, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-741-0150 | |
Brenda Lee Cary, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 9th Street North, Duluth Clinic - Virginia, Virginia, MN 55792 Phone: 218-741-0150 Fax: 715-588-7884 | |
Nicholas Brian Vidor, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-305-0000 | |
Alexis White, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-786-8364 | |
Dr. Ramesh Kumar Tentu, MBBS Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 9th St N, Essentia Health Virginia Clinic, Virginia, MN 55792 Phone: 218-741-0150 | |
Dr. Stephen Andrew Smith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-741-0150 | |
Dr. Robert Thomas Rutka, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 901 9th St N, Suite 115, Virginia, MN 55792 Phone: 218-748-7750 Fax: 218-742-8689 |