Pavan Khanna (NPI# 1891936795, PAC ID# 1658596739) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL RADIOLOGY.
| Nation Provider ID (NPI) | 1891936795 |
| PAC ID by PECOS | 1658596739 |
| Professional Enrollment ID | I20140703000369 |
| Full Name | Pavan Khanna |
| Organization Legal Name | RADADVANTAGE A PROFESSIONAL CORPORATION |
| Address |
1800 N California St Stockton CA 95204-6019 |
| Phone Number | 2099432000 |
| Gender | M |
| Medical School | CHICAGO COLLEGE OF MEDICINE AND SURGERY |
| Graduation Year | 2009 |
| Primary Specialty | INTERVENTIONAL RADIOLOGY |
| Secondary Specialties | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2163597899 |
| Number of Group Practice Members | 339 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050084 | ST JOSEPHS MEDICAL CENTER OF STOCKTON |
| Address | Phone | Organization |
|---|---|---|
| 1800 N California St, Stockton, CA 95204-6019 | 2099432000 | RADADVANTAGE A PROFESSIONAL CORPORATION |
| 1800 N California St, Suite 1, Stockton, CA 95204-6019 | 2094676316 | RADADVANTAGE A PROFESSIONAL CORPORATION |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_076_overall | Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections | 90% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 88% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 94% |
| Organization Legal Name | RADADVANTAGE A PROFESSIONAL CORPORATION |
| Physicians | 182 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dmitry Bolkhovets | Diagnostic Radiology | Radadvantage A Professional Corporation | 67 Dora St, Apt 3, Stamford, CT 06902-5414 |
| Robert L Sciulli | Diagnostic Radiology | Radadvantage A Professional Corporation | 200 River Landing Dr, Unit 406a, Daniel Island, SC 29492-8416 |
| Clark T Kholeif | Diagnostic Radiology | Radadvantage A Professional Corporation | 6181 Kahiliholo Rd, Kilauea, HI 96754-5117 |
| Tracy J Robinson | Diagnostic Radiology | Radadvantage A Professional Corporation | 1940 E 3375, Millcreek, UT 84106-3939 |
| Katherine Tobin | Diagnostic Radiology | Radadvantage A Professional Corporation | 579 Sagamore Ave, Unit 60, Portsmouth, NH 03801-5570 |
| Charles J Vassallo | Diagnostic Radiology | Radadvantage A Professional Corporation | 2500 Kalakaua Ave, Apt 1003, Honolulu, HI 96815-3602 |
| Judith Corey | Diagnostic Radiology | Radadvantage A Professional Corporation | 5858 Bellaire Dr, New Orleans, LA 70124-1104 |
| Betsy J Bronson | Diagnostic Radiology | Radadvantage A Professional Corporation | 5050 Donald St, Eugene, OR 97405-3526 |
| Mujtaba M Ali | Diagnostic Radiology | Radadvantage A Professional Corporation | 518 S Buena Vista St, Redlands, CA 92373-5804 |
| Brendan Maney Miner | Diagnostic Radiology | Radadvantage A Professional Corporation | 510 14th St, St Augustine, FL 32084-1507 |
| Street Address |
1800 N CALIFORNIA ST |
| City | STOCKTON |
| State | CA |
| Zip | 95204-6019 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph J Dominguez | Anesthesiology | Anesthesia Services of San Joaquin PC | 1800 N California St, Suite 1, Stockton, CA 95204-6019 |
| Christina E Ramirez | Certified Registered Nurse Anesthetist (crna) | Anesthesia Services of San Joaquin PC | 1800 N California St, Stockton, CA 95204-6019 |
| Grant David Kephart | Certified Registered Nurse Anesthetist (crna) | Anesthesia Services of San Joaquin PC | 1800 N California St, Suite 1, Stockton, CA 95204-6019 |
| Terren C Wortham | Certified Registered Nurse Anesthetist (crna) | Anesthesia Services of San Joaquin PC | 1800 N California St, Stockton, CA 95204-6019 |
| Douglas B Malcolm | Emergency Medicine | San Francisco Physicians International Medical Group Inc | 1800 N California St, Stockton, CA 95204-6019 |
| Sahil Rao | Hospitalist | Inpatient Specialists of California PC | 1800 N California St, Stockton, CA 95204-6019 |
| Maxine L Delpaine | Diagnostic Radiology | Radadvantage A Professional Corporation | 1800 N California St, Stockton, CA 95204-6019 |
| Khang Do | Certified Registered Nurse Anesthetist (crna) | Anesthesia Services of San Joaquin PC | 1800 N California St, Suite 1, Stockton, CA 95204-6019 |
| Khaleeq Hussain Siddiqui | Internal Medicine | Inpatient Specialists of California PC | 1800 N California St, Stockton, CA 95204-6019 |
| Hanadi Abou Dargham | Family Medicine | Inpatient Specialists of California PC | 1800 N California St, Stockton, CA 95204-6019 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allison M Hom | Physical Therapy | 3215 N California, Suite 4, Stockton, CA 95204-3433 | |
| May Mardini | Physical Therapy | 3215 N California St, Suite 4, Stockton, CA 95204-3433 | |
| Antonia Aurora Fields | Physical Therapy | 3215 N California, Suite 4, Stockton, CA 95204-3433 | |
| Thomas Oliver | Chiropractic | 3020 Pacific Ave, Stockton, CA 95204-3639 | |
| Amrik Singh Sidhu | Family Medicine | 2800 N California St, Suite 10, Stockton, CA 95204-3758 | |
| Taymour E Malak | Family Medicine | 2800 N California St, Suite 11, Stockton, CA 95204-3758 | |
| Albina G Benabaye | Internal Medicine | 2800 N California St, Suite 16, Stockton, CA 95204-3758 | |
| Iftikhar A Malik | Gastroenterology | 2800 N California St, Suite 7, Stockton, CA 95204-3758 | |
| Fram Buhari | Cardiovascular Disease (cardiology) | San Joaquin Cardiology Medical Group Inc | 2800 N California St, 1 Dr Alvin Cacho, Stockton, CA 95204-3758 |
| Timothy Bechtel | General Surgery | 2800 N California St, Suite 6, Stockton, CA 95204-3758 | |
| Find all physicians in zip 95204 | |||
| City | STOCKTON |
| Zip Code | 95204 |
| Specialty | INTERVENTIONAL RADIOLOGY |
| City + Specialty | STOCKTON + INTERVENTIONAL RADIOLOGY |
Please comment or provide details below to improve the information on Pavan Khanna.
| 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.