Wisam Majed Khader (NPI# 1841651767, PAC ID# 0749518488) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1841651767 |
| PAC ID by PECOS | 0749518488 |
| Professional Enrollment ID | I20190820001388 |
| Full Name | Wisam Majed Khader |
| Organization Legal Name | PROHEALTH PARTNERS, A MEDICAL GROUP |
| Address |
1050 Linden Ave Long Beach CA 90813-3321 |
| Phone Number | 5624919000 |
| Gender | M |
| Medical School | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2769388412 |
| Number of Group Practice Members | 205 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050191 | ST MARY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1050 Linden Ave, Long Beach, CA 90813-3321 | 5624919000 | PROHEALTH PARTNERS, A MEDICAL GROUP |
| Organization Legal Name | PROHEALTH PARTNERS, A MEDICAL GROUP |
| Physicians | 192 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Ann Oberhart | Internal Medicine | Prohealth Partners, A Medical Group | 1050 Linden Ave, Long Beach, CA 90813-3321 |
| Tiffany Lynn Mcvey | Nurse Practitioner | Prohealth Partners, A Medical Group | 2777 Pacific Ave, Suite E, Long Beach, CA 90806-2626 |
| Samir Samarany | Cardiovascular Disease (cardiology) | Prohealth Partners, A Medical Group | 685 N 13th Ave, Suite 9, Upland, CA 91786-4963 |
| Leticia K Gonzalez | Physician Assistant | Prohealth Partners, A Medical Group | 7643 Atlantic Ave, Cudahy, CA 90201-5019 |
| Corinne Kaveny | Physician Assistant | Prohealth Partners, A Medical Group | 1045 Atlantic Ave, Suite 1019, Long Beach, CA 90813-3413 |
| Carol Veneracion-godoy | Physician Assistant | Prohealth Partners, A Medical Group | 711 E Rosecrans Ave, Compton, CA 90221-2143 |
| Tina M Allee | Psychiatry | Prohealth Partners, A Medical Group | 2900 Bristol St, B203b205, Costa Mesa, CA 92626-5981 |
| Mona M Shah | General Surgery | Prohealth Partners, A Medical Group | 3628 E Imperial Hwy 202, Lynwood, CA 90262-2600 |
| Sabeen Munib | Family Medicine | Prohealth Partners, A Medical Group | 23181 La Cadena Dr, Suite 101, Laguna Hills, CA 92653-1479 |
| Nayna A Paryani | Nurse Practitioner | Prohealth Partners, A Medical Group | 1868 Pacific Ave, Long Beach, CA 90806-6113 |
| Street Address |
1050 LINDEN AVE |
| City | LONG BEACH |
| State | CA |
| Zip | 90813-3321 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Ann Oberhart | Internal Medicine | Prohealth Partners, A Medical Group | 1050 Linden Ave, Long Beach, CA 90813-3321 |
| Iris Partovi | Internal Medicine | Prohealth Partners, A Medical Group | 1050 Linden Ave, Long Beach, CA 90813-3321 |
| Malgorzata Stanczyk | General Surgery | 1050 Linden Ave, Long Beach, CA 90813-3321 | |
| Maged Mourid Seif | Anesthesiology | Long Beach Anesthesia Medical Group | 1050 Linden Ave, Long Beach, CA 90813-3321 |
| Brad Alan Richard | Anesthesiology | Long Beach Anesthesia Medical Group | 1050 Linden Ave, Long Beach, CA 90813-3321 |
| Babak Gachpaz | Internal Medicine | Prohealth Partners, A Medical Group | 1050 Linden Ave, Long Beach, CA 90813-3321 |
| Minh D Nguyen | Anesthesiology | Palm Springs Anesthesia Services PC | 1050 Linden Ave, Long Beach, CA 90813-3321 |
| Min Qin Hu | Anesthesiology | Long Beach Anesthesia Medical Group | 1050 Linden Ave, Long Beach, CA 90813-3321 |
| Peter P Ferrera | Internal Medicine | Prohealth Partners, A Medical Group | 1050 Linden Ave, Long Beach, CA 90813-3321 |
| Jamila T Neal | Anesthesiology | Long Beach Anesthesia Medical Group | 1050 Linden Ave, Long Beach, CA 90813-3321 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arlene M Vernon | Emergency Medicine | Stephen R Shea Md Inc | St Mary Medical Ctr, Long Beach, CA 90813 |
| Mark H Joyner | Emergency Medicine | Stephen R Shea Md Inc | St Mary Medical Ctr, Long Beach, CA 90813 |
| Keith D Stamler | Emergency Medicine | Stephen R Shea Md Inc | St Mary Medical Ctr, Long Beach, CA 90813 |
| Shana Jordan | Family Medicine | County of Los Angeles | 1333 Chestnut Ave, Long Beach, CA 90813-2944 |
| Matthew Wang | Optometry | County of Los Angeles | 1333 Chestnut Ave, Long Beach, CA 90813-2944 |
| Jeffrey T Barbosa | Family Medicine | County of Los Angeles | 1333 Chestnut Ave, Long Beach, CA 90813-2944 |
| John S Chou | Family Medicine | County of Los Angeles | 1333 Chestnut Ave, Long Beach, CA 90813-2944 |
| Cat Tien P Vo | Pediatric Medicine | County of Los Angeles | 1333 Chestnut Ave, Long Beach, CA 90813-2944 |
| Rachel A Feit-leichman | Ophthalmology | County of Los Angeles | 1333 Chestnut Ave, Long Beach, CA 90813-2944 |
| Eric S Daar | Infectious Disease | County of Los Angeles | 1333 Chestnut Ave, Long Beach, CA 90813-2944 |
| Find all physicians in zip 90813 | |||
| City | LONG BEACH |
| Zip Code | 90813 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | LONG BEACH + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Wisam Majed Khader.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.