MS. RUKHSAAR KHANAM (NPI# 1477162816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477162816 |
| Entity Type | Individual |
| Full Name | MS. RUKHSAAR KHANAM |
| Credential | MBBS |
| Practice Address |
611 W Park Street Urbana IL 61801 |
| Mailing Address |
1702 Gentry Square Lane Apt 201 Champaign IL 61821 |
| Practice Telephone | 2173833311 |
| Mailing Telephone | 5189865141 |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-10-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
611 W PARK STREET |
| City | URBANA |
| State | IL |
| Zip Code | 61801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669438198 | Napoleon B Knight | Emergency Medicine | 611 W Park Street, Emergency Medicine, Urbana, IL 61801 | 2006-04-24 |
| 1689196776 | Rajamurugan Meenakshisundaram | Internal Medicine | 611 W Park Street, Carle Forum Lower Level, Mc-474, Urbana, IL 61801-6180 | 2017-07-11 |
| 1992148282 | Rehema N Kasasa | Nurse Anesthetist, Certified Registered | 611 W Park Street, Urbana, IL 61801-2500 | 2013-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566084 | Avani Sushilkumar Mohta | Internal Medicine | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2020-07-29 |
| 1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
| 1447877089 | Muhammad Khalid Abbas | Internal Medicine | 611 W Park St Urbana, Urbana, IL 61801 | 2020-06-30 |
| 1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
| 1568090900 | Luke Andrew Fenlon | Student in an Organized Health Care Education/Training Program | Carle Forum Lower Level, Mc-474, 611 West Park Street, Urbana, IL 61801 | 2020-03-31 |
| 1912559691 | Ali Baltaji | Internal Medicine | 101 N Busey Apt 7, Urbana, IL 61801 | 2019-07-12 |
| 1821510918 | Pallavi Pradeep | Internal Medicine | Imrp, Carle Foundation Hospital, 611 W Park Street, Urbana, IL 61801 | 2017-07-11 |
| 1093236002 | Angela Lynn Devaney | Speech-Language Pathologist | 1400 W Park, Presence Covenant Medical Center, Urbana, IL 61801 | 2017-06-29 |
| 1346775236 | Jennifer Garcia | Student in an Organized Health Care Education/Training Program | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2017-04-27 |
| 1467992537 | Amber Kristine Davis | Speech-Language Pathologist | 1400 W. Park, Presence Health Medical Center, Urbana, IL 61801 | 2017-03-08 |
| Find all providers in zip 61801 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568090900 | Luke Andrew Fenlon | Student in an Organized Health Care Education/Training Program | Carle Forum Lower Level, Mc-474, 611 West Park Street, Urbana, IL 61801 | 2020-03-31 |
| 1346775236 | Jennifer Garcia | Student in an Organized Health Care Education/Training Program | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2017-04-27 |
| 1366840712 | Weichao Zheng | Student in an Organized Health Care Education/Training Program | 912 W Eads St, Urbana, IL 61801-1597 | 2014-12-17 |
| 1013531565 | George Massey | Student in an Organized Health Care Education/Training Program | 611 W Park St, Urbana, IL 61801-2529 | 2020-06-01 |
| 1801419825 | Christine Farag | Student in an Organized Health Care Education/Training Program | 611 W Park St, Urbana, IL 61801-2529 | 2020-05-26 |
| 1780210716 | Emily Grace Tillmaand | Student in an Organized Health Care Education/Training Program | 611 W Park St, Urbana, IL 61801-2529 | 2020-03-21 |
| 1952936163 | Kenneth Long | Student in an Organized Health Care Education/Training Program | 611 W Park St, Urbana, IL 61801-2529 | 2020-03-08 |
| 1114580321 | Katie Marrero | Student in an Organized Health Care Education/Training Program | 611 W Park St, Urbana, IL 61801-2529 | 2019-04-15 |
| 1104311463 | David Andrew Krone | Student in an Organized Health Care Education/Training Program | 611 W Park St, Urbana, IL 61801-2529 | 2018-06-28 |
| 1265936256 | Alejandro Dagoberto Oliu | Student in an Organized Health Care Education/Training Program | 611 W Park St, Urbana, IL 61801 | 2018-03-22 |
| Find all providers in URBANA | ||||
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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.