| Shanu Khatana, | |
|
14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | |
| (847) 342-6910 | |
| Not Available |
| Full Name | Shanu Khatana |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 14200 W Celebrate Life Way, Goodyear, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679426035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 335624 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| City Of Hope Cancer Center Phoenix | Goodyear, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| City Of Hope Medical Group Of Arizona Llc | 2264593474 | 159 |
| Entity Name | City of Hope Medical Group of Arizona LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609026806 PECOS PAC ID: 2264593474 Enrollment ID: O20081205000793 |
| Mailing Address | Practice Location Address |
|---|---|
| Shanu Khatana, 9515 Tamar Trl, Fort Wayne, IN 46825-7254 Ph: Not Available | Shanu Khatana, 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 Ph: (847) 342-6910 |
Viviane Che, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13210 W Van Buren St, Goodyear, AZ 85338 Phone: 623-253-6138 |
Benilde Mwiseneza, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13555 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-295-1190 |
Mrs. Kathryn Leigh Martinez, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13555 W Mcdowell Rd Ste 203, Goodyear, AZ 85395 Phone: 623-512-4390 |
Miss Natisha Lynn Zevnick, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13555 W Mcdowell Rd Ste 302, Goodyear, AZ 85395 Phone: 623-512-4390 |
Hussein Haidar, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13555 W Mcdowell Rd Ste 205, Goodyear, AZ 85395 Phone: 623-295-1190 |
Victor Daniel Moga, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1300 S Litchfield Rd, Building 200 Suite A 10, Goodyear, AZ 85338 Phone: 623-250-5553 Fax: 623-250-0600 |
Amanda Jo Frary, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13555 W Mcdowell Rd Ste 302, Goodyear, AZ 85395 Phone: 623-404-3046 |