| Wajid A Khuddus, | |
|
1137 Nw 155th Dr, Newberry, FL 32669-3907 | |
| (352) 359-4267 | |
| (352) 329-4228 |
| Full Name | Wajid A Khuddus |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1137 Nw 155th Dr, Newberry, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689695371 | NPI | - | NPPES |
| 57029 | Other | FL | BCBS |
| 278009700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME93049 (Florida) | Primary |
| Entity Name | Geriatrics Associates Of Gainesville Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245541135 PECOS PAC ID: 4981737293 Enrollment ID: O20140422001264 |
| Mailing Address | Practice Location Address |
|---|---|
| Wajid A Khuddus, 1137 Nw 155th Dr, Newberry, FL 32669-3907 Ph: (352) 359-4267 | Wajid A Khuddus, 1137 Nw 155th Dr, Newberry, FL 32669-3907 Ph: (352) 359-4267 |
Preston T Green, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 13575 Nw 1st Ln Ste 20, Newberry, FL 32669 Phone: 352-332-5755 Fax: 855-964-1167 | |
Dr. Neeta S Pohani, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 19913 W Newberry Rd Ste A, Newberry, FL 32669 Phone: 352-472-5775 Fax: 352-472-5761 |