| Mamoona Hameed Khan, | |
|
43825 Michigan Ave, Canton, MI 48188-2551 | |
| (734) 397-3088 | |
| Not Available |
| Full Name | Mamoona Hameed Khan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 43825 Michigan Ave, Canton, Michigan |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902411259 | NPI | - | NPPES |
| 0000000 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 4704365990 (Michigan) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1075815 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Huntsville Memorial Hospital | Huntsville, TX | Hospital |
| Entity Name | Gateway Psych Care PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386499457 PECOS PAC ID: 8325480494 Enrollment ID: O20240522000122 |
| Entity Name | Rising Mind Psychiatry PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639034945 PECOS PAC ID: 5496236598 Enrollment ID: O20260226002308 |
| Mailing Address | Practice Location Address |
|---|---|
| Mamoona Hameed Khan, 43825 Michigan Ave, Canton, MI 48188-2551 Ph: Not Available | Mamoona Hameed Khan, 43825 Michigan Ave, Canton, MI 48188-2551 Ph: (734) 397-3088 |
Lucinda Pryor, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1161 Stacy Dr, Canton, MI 48188 Phone: 313-740-5358 |
Iqbal Mahal, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 46837 Wareham, Canton, MI 48187 Phone: 734-358-4785 |
Wendy Storey, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 49650 Cherry Hill Rd, Suite 210, Canton, MI 48187 Phone: 734-398-7899 Fax: 734-398-7895 |
Molly Mcintyre, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 49650 Cherry Hill Rd, Suite 210, Canton, MI 48187 Phone: 734-398-7899 Fax: 734-398-7895 |
Patricia Reckling, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 49650 Cherry Hill Rd, Suite 210, Canton, MI 48187 Phone: 734-398-7899 Fax: 734-398-7895 |
Jaclyn Riley, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2050 N Haggerty Rd Ste 200, Canton, MI 48187 Phone: 313-550-3353 |
Jennifer Martz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6300 N Haggerty Rd, Suite Number 210, Canton, MI 48187 Phone: 734-641-3000 |