KHALIL QADERDAN (NPI# 1831543479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831543479 |
| Entity Type | Individual |
| Full Name | KHALIL QADERDAN |
| Credential | M.D. |
| Practice Address |
155 Wilson Ave Washington PA 15301-3336 |
| Mailing Address |
2715 Boardwalk Atlantic City NJ 08401-6470 |
| Practice Telephone | 6094418990 |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2019-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD465545 | PA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
155 WILSON AVE |
| City | WASHINGTON |
| State | PA |
| Zip Code | 15301-3336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487656625 | Alden G Mcbee | Pathology | 155 Wilson Ave, Washington, PA 15301-3336 | 2005-06-01 |
| 1598380776 | Western Pennsylvania Surgical Specialists LLC | Surgery | 155 Wilson Ave, Washington, PA 15301-3336 | 2020-06-12 |
| 1801428073 | Washington Physician Services | Surgery | 155 Wilson Ave, Washington, PA 15301-3336 | 2020-02-06 |
| 1033680772 | Carlin Rose Gerba | Nurse Practitioner | 155 Wilson Ave, Washington, PA 15301-3336 | 2018-12-06 |
| 1013457787 | Christian Michael Schmidt | Physician Assistant | 155 Wilson Ave, Washington, PA 15301-3336 | 2017-03-01 |
| 1669914198 | Katie Heinrich | Registered Nurse | 155 Wilson Ave, Washington, PA 15301-3336 | 2016-11-15 |
| 1629510078 | Laura Lucatorto | Nurse Anesthetist, Certified Registered | 155 Wilson Ave, Washington, PA 15301-3336 | 2016-11-15 |
| 1952773806 | Scarlet Oak Emergency Physicians, LLC | Physician Assistant | 155 Wilson Ave, Washington, PA 15301-3336 | 2015-10-30 |
| 1154793719 | Amy Louise Bruckner | Registered Nurse | 155 Wilson Ave, Washington Hosp, Washington, PA 15301-3336 | 2015-10-22 |
| 1588030910 | Rachel Spinnenweber | Nurse Practitioner | 155 Wilson Ave, Washington, PA 15301-3336 | 2015-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629601208 | Tammi Kathleen Hanak | Speech-Language Pathologist | 2212 Shawnee Drive, Address Line 2, Washington, PA 15301 | 2020-02-21 |
| 1922652460 | Shannon Rouse | Nurse Practitioner | 95 Leonard Avenue Building 2 2nd Floor, Washington, PA 15301 | 2019-08-01 |
| 1700352291 | Heather Mcvay PC | Clinic/Center | 2112 North Franklin Dr, Suite 3, Washington, PA 15301 | 2018-10-23 |
| 1689169880 | Oper King | Counselor | 8 Oliver Rd, Oliver Square Suite 116, Uniontown, PA 15301 | 2018-06-29 |
| 1609374701 | Centerville Clinics Inc | Social Worker | 201 Allison Ave, Washington High School, Washington, PA 15301 | 2018-01-24 |
| 1902304009 | Centerville Clinics, Inc. | Social Worker | 50 Scenic Drive, Trinity Middle School, Washington, PA 15301 | 2018-01-24 |
| 1780182873 | Centerville Clinics, Inc | Social Worker | 252 Cameron Road, Trinity East Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1700384807 | Centerville Clinics Inc | Social Worker | 801 East Wheeling St., Washington Park Elementary, Washington, PA 15301 | 2018-01-24 |
| 1992203095 | Centerville Clinics Inc | Social Worker | 2500 South Main St Ext., Trinity South Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1578061784 | Centerville Clinics, Inc. | Social Worker | 225 Midland Drive, Trinity North Elelmentary School, Washington, PA 15301 | 2018-01-23 |
| Find all providers in zip 15301 | ||||
| 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 |
|---|---|---|---|---|
| 1619581576 | Brittney Boxley | Internal Medicine | 1113 Clifton St Nw, Washington, DC 20009-5206 | 2020-09-08 |
| 1154948362 | Hibiscus Medical Pllc | Internal Medicine | 1268 Delafield Pl Ne, Washington, DC 20017-2809 | 2020-07-03 |
| 1104454594 | Hoangmai Huu Pham | Internal Medicine | 1231 C St Ne, Washington, DC 20002-6368 | 2020-03-31 |
| 1992351399 | Richard Senzer Md LLC | Internal Medicine | 279 State Route 31 S Ste 1, Washington, NJ 07882-4099 | 2019-08-13 |
| 1336700160 | Northrium Health LLC | Internal Medicine | 1673 K Street #300 Nw, Washington, DC 20006 | 2019-06-24 |
| 1780158873 | Clinicians In Telemedicine LLC | Internal Medicine | 1678 Beeman Rd, Washington, WV 26181-5360 | 2019-01-11 |
| 1669942983 | It Hospitalist Services | Internal Medicine | United Medical Center, 1310 Southern Ave., Se, Washington, DC 20032-4623 | 2018-11-29 |
| 1619447380 | Michael Waters | Internal Medicine | 10 Samuel Dr, Washington, PA 15301-3206 | 2018-11-26 |
| 1851866198 | Washington Medical LLC | Internal Medicine | 1140 Varnum St Ne Ste 203, Washington, DC 20017-2153 | 2018-10-12 |
| 1124512819 | Internal Medicine Colleagues Pllc | Internal Medicine | 2021 K St Nw Ste 404, Washington, DC 20006-1003 | 2018-06-18 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 15301 |
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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.