Kamran Khatri, | |
402 S 4th Ave, Yakima, WA 98902-3546 | |
(509) 575-4084 | |
Not Available |
Full Name | Kamran Khatri |
---|---|
Gender | Male |
Speciality | Registered Nurse |
Location | 402 S 4th Ave, Yakima, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821441619 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209014492 (Illinois) | Secondary |
163W00000X | Registered Nurse | RN61655253 (Washington) | Primary |
Entity Name | Physician Care At Home Management Company Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114458791 PECOS PAC ID: 7911274170 Enrollment ID: O20170519000324 |
Entity Name | Marciana Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134719693 PECOS PAC ID: 9739594169 Enrollment ID: O20211022002322 |
Mailing Address | Practice Location Address |
---|---|
Kamran Khatri, Po Box 959, Yakima, WA 98907-0959 Ph: (847) 932-9558 | Kamran Khatri, 402 S 4th Ave, Yakima, WA 98902-3546 Ph: (509) 575-4084 |
Mrs. Lanea Cate, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 104 N 4th Ave, Yakima, WA 98902 Phone: 509-728-6293 | |
Ashleigh Gaskell, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 12 S 8th St, Yakima, WA 98901 Phone: 509-454-4143 | |
Alenka Terzic, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 201 S 2nd Ave, Yakima, WA 98902 Phone: 509-575-4084 | |
Evelyn Arisbeth Borges, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1115 Rock Ave, Yakima, WA 98902 Phone: 509-969-8353 | |
Mr. Zacharias Paul Phelps-roper, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2811 Tieton Dr, Yakima, WA 98902 Phone: 509-575-8000 | |
Debbie Lynn Vancampen, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 7 S 10th Ave, Yakima, WA 98902 Phone: 509-575-5093 Fax: 509-575-5032 | |
Mrs. Andrea Carriedo, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 602 E Nob Hill Blvd, Yakima, WA 98901 Phone: 509-453-7144 |