KHURRUM SANAULLAH (NPI# 1245244763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245244763 |
| Entity Type | Individual |
| Full Name | KHURRUM SANAULLAH |
| Credential | M.D. |
| Practice Address |
100 Ohio St Ste 2 Medina NY 14103-1191 |
| Mailing Address |
100 Kings Hwy S Rochester NY 14617-5504 |
| Practice Telephone | 5853184455 |
| Practice Fax Number | 5853445440 |
| Mailing Telephone | 5853432611 |
| Mailing Fax Number | 5853433826 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-05-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 285579 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13438 Fort King Rd, Dade City, FL 335255214 | 3525675266 | 3525673066 |
| 47 Batavia City Ctr, Batavia, NY 140202107 | 5853432611 | 5853433826 |
| Street Address |
100 OHIO ST STE 2 |
| City | MEDINA |
| State | NY |
| Zip Code | 14103-1191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609132687 | Christine A Cameron | Family Medicine | 100 Ohio St Ste 2, Medina, NY 14103-1191 | 2012-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063772473 | Melody Ann Parker | Licensed Practical Nurse | 1026 Park Avenue, Medina, NY 14103 | 2012-05-18 |
| 1720253883 | Gary L Condoluci | Massage Therapist | 11020 West Center St Ext, Medina, NY 14103 | 2008-04-29 |
| 1437280955 | Orleans Community Health | Clinic/Center | 11020 West Center Street Ext., Medina, NY 14103 | 2007-03-08 |
| 1902933328 | Sallah U Abbasey | Homeopath | 3662 Culvert Road, Medina, NY 14103 | 2007-02-27 |
| 1548395429 | Salvatore Russell Pecoraro | Emergency Medicine | 200 Ohio Street, Medina Memorial Hospital, Medina, NY 14103 | 2007-02-22 |
| 1285783704 | Medina Central School District | Local Education Agency (LEA) | One Mustang Drive, Medina, NY 14103 | 2007-01-10 |
| 1639278310 | Ekram John Boulos | Otolaryngology | 11075 West Center Street Extension, Medina, NY 14103 | 2006-09-21 |
| 1598771289 | Katherine Price | Midwife | 100 Ohio Street, Medina, NY 14103 | 2006-08-01 |
| 1831156967 | Nadia Alexandra Nava | Physical Therapist | 711 Park Ave, Medina, NY 14103 | 2006-05-01 |
| 1336104090 | Amy Sue Herman | Pharmacist | 526 Main Street, Rosenkrans Pharmacy, Medina, NY 14103 | 2006-04-18 |
| Find all providers in zip 14103 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194119578 | Jennifer Valentic | Pediatrics | 3443 Medina Rd Ste 1153443, Medina, OH 44256 | 2015-03-24 |
| 1851518955 | Jeffrey Henry Shaw | Pediatrics | 1150 Chapman Ln Unit 25, Medina, OH 44256-6714 | 2007-04-19 |
| 1235235003 | Stacey J.p. Memberg | Pediatrics | 4015 Medina Rd Ste 50, Medina, OH 44256-5970 | 2006-09-16 |
| 1619937299 | Emma Raizman | Pediatrics | 3443 Medina Rd Ste 115, Medina, OH 44256-5965 | 2006-03-27 |
| 1639603178 | Kristen Makowski | Pediatrics | 970 E Washington St, Medina, OH 44256-3332 | 2017-04-11 |
| 1730575291 | William Kyle Mudd | Pediatrics | 970 E Washington St, Medina, OH 44256 | 2015-04-11 |
| 1285061069 | Healthspan Integrated Care | Pediatrics | 3443 Medina Rd, Suite 108, Medina, OH 44256-5360 | 2013-10-11 |
| 1073882445 | Ohio Permanente Medical Group | Pediatrics | 3443 Medina Rd, Suite 108, Medina, OH 44256-5360 | 2011-12-14 |
| 1588958417 | University Hospitals Medical Group, Inc. | Pediatrics | 4001 Carrick Dr, Suite 220, Medina, OH 44256-5387 | 2011-06-08 |
| 1033324017 | Tamika Patilla | Pediatrics | 3443 Medina Rd, Suite 115, Medina, OH 44256-5360 | 2007-05-11 |
| Find all providers in MEDINA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.