| Fatima Khadar, NP | |
|
1070 N Main St, Providence, RI 02904-5709 | |
| (401) 454-3574 | |
| (401) 455-3624 |
| Full Name | Fatima Khadar |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1070 N Main St, Providence, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265612725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | NPP 37444 (Rhode Island) | Primary |
| Entity Name | Elite Medical Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902557366 PECOS PAC ID: 1951797893 Enrollment ID: O20220401001515 |
| Mailing Address | Practice Location Address |
|---|---|
| Fatima Khadar, NP 1070 N Main St, Providence, RI 02904-5709 Ph: (401) 455-3574 | Fatima Khadar, NP 1070 N Main St, Providence, RI 02904-5709 Ph: (401) 454-3574 |
Mrs. Halina Kuc-mazgaj, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, The Miriam Hospital, Providence, RI 02906 Phone: 401-793-3902 |
Nnemeka A Okpala, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Dorrance St Ste 700, Providence, RI 02903 Phone: 617-419-0482 |
Phina A Mayu, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 534 Angell Street, 2nd Floor, Providence, RI 02906 Phone: 401-384-7971 Fax: 401-340-1499 |
Beverly Casinelli, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 765 Allens Ave, Providence, RI 02905 Phone: 401-606-4150 |
Kristen Ann Chapian, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 195 Collyer St Ste 302, Providence, RI 02904 Phone: 401-793-5708 Fax: 401-793-5171 |
Elizabeth Moore Medbury, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 830 Chalkstone Ave, Providence, RI 02908 Phone: 401-273-7011 |
Korrinne Ivey, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 175 Broad St, Providence, RI 02903 Phone: 513-653-0904 |