MOHAMEDAOUF KHAZNADAR (NPI# 1790712784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790712784 |
| Entity Type | Individual |
| Full Name | MOHAMEDAOUF KHAZNADAR |
| Credential | MD |
| Practice Address |
1901 Medi Park Dr Suite 124 Amarillo TX 79106-2110 |
| Practice Telephone | 8063599866 |
| Practice Fax Number | 8063591180 |
| Mailing Telephone | 8063599866 |
| Mailing Fax Number | 8063591180 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2010-02-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | K1504 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 110190468 | 01 | |
| TAX ID # | 752836096 | 01 | |
| TX | 135305413 | 05 | |
| TX | 135305412 | 05 | |
| TX | 135306406 | 05 | |
| BLUE CROSS | 0045DV | 01 | |
| FIRSTCARE | 116723101 | 01 | |
| TX | 135305411 | 05 |
| Street Address |
1901 MEDI PARK DR SUITE 124 |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106-2110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003815325 | Stanley D Cook | Radiology | 1901 Medi Park Dr, Suite 2050, Amarillo, TX 79106-2110 | 2005-07-19 |
| 1396225496 | Lorelei Anne Johnson | Registered Nurse | 1901 Medi Park Dr, Amarillo, TX 79106-2110 | 2018-08-17 |
| 1184179293 | Viviana Whatley | Occupational Therapy Assistant | 1901 Medi Park Dr, Suite 2048, Amarillo, TX 79106-2110 | 2016-08-18 |
| 1891145959 | Beatriz Rey | Speech-Language Pathologist | 1901 Medi Park Dr, Suite 2048, Amarillo, TX 79106-2110 | 2016-06-20 |
| 1952755613 | Blaire Black | Speech-Language Pathologist | 1901 Medi Park Dr, Suite #2048, Amarillo, TX 79106-2110 | 2016-04-19 |
| 1912365461 | Corbie Nathaniel Grimes II | Counselor | 1901 Medi Park Dr, Suite 1038, Amarillo, TX 79106-2110 | 2016-01-28 |
| 1063887776 | Nicole Feagan | Speech-Language Pathologist | 1901 Medi Park Dr, Suite 2048, Amarillo, TX 79106-2110 | 2015-12-07 |
| 1902279573 | Krista Raquel Reta | Occupational Therapy Assistant | 1901 Medi Park Dr, Suite 2048, Amarillo, TX 79106-2110 | 2015-11-04 |
| 1164892956 | Amarillo Pediatric Clinic, Pllc | Nurse Practitioner | 1901 Medi Park Dr, Ste 65, Amarillo, TX 79106-2110 | 2015-10-06 |
| 1407226251 | Cassie Cleavinger | Speech-Language Pathologist | 1901 Medi Park Dr, Suite 2048, Amarillo, TX 79106-2110 | 2015-10-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
| 1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
| 1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
| 1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
| Find all providers in zip 79106 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720630825 | Yalamanchili Physicians Group Pllc | Internal Medicine | 62 Prestwick Ln, Amarillo, TX 79124-4975 | 2019-07-10 |
| 1861924623 | Ryan Batson Smithee | Internal Medicine | 1301 S Coulter St Ste 107, Amarillo, TX 79106-1764 | 2017-03-31 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
| 1881074524 | Susan Mbu | Internal Medicine | 1501 Coulter Road, Amarillo, TX 79106 | 2015-06-08 |
| 1043698681 | Msj Services Pllc | Internal Medicine | 26 Medical Dr Ste A, Amarillo, TX 79106-4129 | 2015-05-15 |
| 1467874537 | Susan Elizabeth Ellington | Internal Medicine | 7659 Hillside Rd, Suite 300, Amarillo, TX 79119 | 2014-01-09 |
| 1497189526 | Saeed Md Pllc | Internal Medicine | 3144 W 28th Ave, Suite C, Amarillo, TX 79109-3169 | 2013-08-26 |
| 1922399724 | Reesha Mahnoor | Internal Medicine | 1400 Coulter Street, Ttuhsc, Amarillo, TX 79106-1708 | 2011-04-27 |
| 1457652075 | Charles W. Seward | Internal Medicine | 237 Lisa Ln, Amarillo, TX 79118-8021 | 2010-11-12 |
| 1366754673 | Lylla Ngo | Internal Medicine | 1400 S Coulter St Ste 2500, Amarillo, TX 79106-1786 | 2010-07-02 |
| Find all providers in AMARILLO | ||||
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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.