| Khawar Khurshid M D A Professional Medical Corporation | |
| 
					112 Jax Sq Sterlington LA 71280-3321  | |
| (646) 591-0808 | |
| Not Available | 
| Full Name | Khawar Khurshid M D A Professional Medical Corporation | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 112 Jax Sq, Sterlington, Louisiana | 
| Authorized Official Name and Position | Khawar Khurshid (PRESIDENT) | 
| Authorized Official Contact | 6465910808 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Khawar Khurshid M D A Professional Medical Corporation 112 Jax Sq Sterlington LA 71280-3321 Ph: (646) 591-0808  | Khawar Khurshid M D A Professional Medical Corporation 112 Jax Sq Sterlington LA 71280-3321 Ph: (646) 591-0808  | 
| NPI Number | 1902283039 | 
|---|---|
| Provider Enumeration Date | 04/27/2015 | 
| Last Update Date | 04/27/2015 | 
| Medicare PECOS PAC ID | 0042531055 | 
|---|---|
| Medicare Enrollment ID | O20150603000112 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1902283039 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | MD.206317 (Louisiana) | Primary | 
| Provider Name | Khawar Khurshid | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1679721310 PECOS PAC ID: 7618299785 Enrollment ID: I20141126000524  | 
| Provider Name | Courtney Nicole Brooks | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1952784209 PECOS PAC ID: 5092017160 Enrollment ID: I20160106001044  | 
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