| Waseemullah Khan, MD | |
|
289 Sw Stonegate Ter, Suite103, Lake City, FL 32024-3457 | |
| (386) 755-1655 | |
| (386) 628-9231 |
| Full Name | Waseemullah Khan |
|---|---|
| Gender | Male |
| Speciality | Hematology/oncology |
| Experience | 29 Years |
| Location | 289 Sw Stonegate Ter, Lake City, Florida |
| 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 |
|---|---|---|---|
| 1073557864 | NPI | - | NPPES |
| 262534200 | Medicaid | FL | |
| PTAN 01693W | Other | FL | LINKED TO GROUP PTAN IE881A EFFECTIVE 07/01/15 |
| 830008471 | Other | FL | RR MCR |
| 279199 | Other | FL | AVMED |
| 01693 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RX0202X | Internal Medicine - Medical Oncology | ME76931 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake City Medical Center | Lake city, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake City Cancer Care Llc | 7315250685 | 7 |
| Entity Name | Lake City Cancer Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396132213 PECOS PAC ID: 7315250685 Enrollment ID: O20150715000887 |
| Mailing Address | Practice Location Address |
|---|---|
| Waseemullah Khan, MD 289 Sw Stonegate Ter Ste 103, Lake City, FL 32024-3457 Ph: (386) 755-1655 | Waseemullah Khan, MD 289 Sw Stonegate Ter, Suite103, Lake City, FL 32024-3457 Ph: (386) 755-1655 |
Dr. Sheel Goswami, Internal Medicine Medicare: Medicare Enrolled Practice Location: 619 S Marion Ave, Lake City, FL 32025 Phone: 352-317-7259 | |
Dr. Nikhita Kathuria-prakash, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 795 Sw State Road 47, Lake City, FL 32025 Phone: 386-401-7066 Fax: 833-933-0709 | |
Andrea Findlater, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 619 S Marion Ave, Lake City, FL 32025 Phone: 386-755-3016 Fax: 800-308-8387 | |
Dr. Joseph Frank Mondschein, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 619 S Marion Ave, Lake City, FL 32025 Phone: 386-755-3016 Fax: 386-754-7414 | |
Dr. Vernon P Montoya, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 289 Sw Stonegate Terr, Suite #103, Lake City, FL 32024 Phone: 386-755-1655 Fax: 386-755-2330 | |
Dr. Maria Criselda Borlongan Zaldivar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1283 Sw Sr 47, Suite 102, Lake City, FL 32025 Phone: 877-377-5602 Fax: 386-754-1741 |