Khadeer Khan, MSN, DNP, FNP, PMHNP | |
301 N Prairie Ave Ste 311, Inglewood, CA 90301-4510 | |
(818) 895-3100 | |
(310) 981-4064 |
Full Name | Khadeer Khan |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 301 N Prairie Ave Ste 311, Inglewood, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588964456 | NPI | - | NPPES |
195UT0EB | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 19864 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 19864 (California) | Primary |
Entity Name | Mission City Community Network, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710102009 PECOS PAC ID: 1658264684 Enrollment ID: O20040204000544 |
Entity Name | Ehab Yacoub Md Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417373713 PECOS PAC ID: 5092099523 Enrollment ID: O20170301002071 |
Mailing Address | Practice Location Address |
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Khadeer Khan, MSN, DNP, FNP, PMHNP 506 Phelan Ln, Redondo Beach, CA 90278-5309 Ph: (310) 387-2054 | Khadeer Khan, MSN, DNP, FNP, PMHNP 301 N Prairie Ave Ste 311, Inglewood, CA 90301-4510 Ph: (818) 895-3100 |
Mark Ross Silverio Mendoza, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 934 Larch St Apt 1b, Inglewood, CA 90301 Phone: 714-882-0696 | |
Ms. Claudine Harris, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 711 Larch St Apt 1, Inglewood, CA 90301 Phone: 424-219-2809 | |
Ms. Mai Chou Vang, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 555 E Hardy St, Inglewood, CA 90301 Phone: 310-673-4660 | |
Arsalan Sharifian Pour, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 555 E Hardy St, Inglewood, CA 90301 Phone: 818-577-0269 | |
Melinda Rusiana Catubig-espiritu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3451 W Century Blvd, Inglewood, CA 90303 Phone: 310-677-9400 | |
Suzanne Bejec, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 575 E Hardy St Ste 315, Inglewood, CA 90301 Phone: 213-328-2889 | |
Charlene Ngozi Azonwu, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 555 E Hardy St, Inglewood, CA 90301 Phone: 310-673-4660 |