Imtiaz R Khan (NPI# 1306137666, PAC ID# 3072849942) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is THORACIC SURGERY.
| Nation Provider ID (NPI) | 1306137666 |
| PAC ID by PECOS | 3072849942 |
| Professional Enrollment ID | I20190730003530 |
| Full Name | Imtiaz R Khan |
| Organization Legal Name | LOURDES PHYSICIAN GROUP LLC |
| Address |
5000 Ambassador Caffery Pkwy Bldg 14a Lafayette LA 70508-6984 |
| Phone Number | 3374703580 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 2011 |
| Primary Specialty | THORACIC SURGERY |
| Group Practice PAC ID | 7214177757 |
| Number of Group Practice Members | 70 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190102 | OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC |
| 190263 | HEART HOSPITAL OF LAFAYETTE |
| Address | Phone | Organization |
|---|---|---|
| 5000 Ambassador Caffery Pkwy, Bldg 14a, Lafayette, LA 70508-6984 | 3374703580 | LOURDES PHYSICIAN GROUP LLC |
| Organization Legal Name | LOURDES PHYSICIAN GROUP LLC |
| Physicians | 63 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tate J Perque | Physician Assistant | Lourdes Physician Group LLC | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 |
| Sunshine A Little | Family Medicine | Lourdes Physician Group LLC | 3824 Ne Evangeline Trwy, Suite B, Carencro, LA 70520-5966 |
| Janna F Wilson | Pediatric Medicine | Lourdes Physician Group LLC | 4704 Ambassador Caffery Pkwy, Lafayette, LA 70508-6908 |
| Kelly T Cahill Jr. | Family Medicine | Lourdes Physician Group LLC | 3220 Kaliste Saloom Rd, Suite A, Lafayette, LA 70508-7422 |
| Steven J Snatic | Neurology | Lourdes Physician Group LLC | 4811 Ambassador Caffery Pkwy, Suite 305, Lafayette, LA 70508-7266 |
| James M Mwatibo | Family Medicine | Lourdes Physician Group LLC | 850 N Pierce St B, Lourdes Physician Group, Lafayette, LA 70501-2848 |
| Kenneth Spiller | Internal Medicine | Lourdes Physician Group LLC | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 |
| Erin T Lasseigne | Internal Medicine | Lourdes Physician Group LLC | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 |
| Mehandi Haran | Pulmonary Disease | Lourdes Physician Group LLC | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 |
| Bhavya H Gopalagowda | Internal Medicine | Lourdes Physician Group LLC | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 |
| Street Address |
5000 AMBASSADOR CAFFERY PKWY BLDG 14A |
| City | LAFAYETTE |
| State | LA |
| Zip | 70508-6984 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney E Albritton | Nurse Practitioner | Southern Vascular Associates LLC | 5000 Ambassador Caffery Pkwy, Suite 1, Lafayette, LA 70508-6984 |
| Mary F Summers | Ophthalmology | Mary F Summers Md Apm LLC | 5000 Ambassador Caffery Pkwy, Bldg 13, Lafayette, LA 70508-6984 |
| Racheed J Ghanami | Vascular Surgery | Southern Vascular Associates LLC | 5000 Ambassador Caffery Pkwy, Suite 1, Lafayette, LA 70508-6984 |
| Duncan Hanby | Otolaryngology | Noel and Hanby LLC | 5000 Ambassador Caffery Pkwy, Suite 3, Lafayette, LA 70508-6984 |
| Phillip E Noel | Otolaryngology | 5000 Ambassador Caffery Pkwy, Bldg 5, Lafayette, LA 70508-6984 | |
| Jessica Stafford | Optometry | 5000 Ambassador Caffery Pkwy, Bldg 5, Lafayette, LA 70508-6984 | |
| Christie Childress Goudeau | Optometry | Mary F Summers Md Apm LLC | 5000 Ambassador Caffery Pkwy, Bldg 13, Lafayette, LA 70508-6984 |
| Thomas J Forest | Urology | 5000 Ambassador Caffery Pkwy, Suite 16, Lafayette, LA 70508-6984 | |
| Amanda Lauren Ray | Physician Assistant | Noel and Hanby LLC | 5000 Ambassador Caffery Pkwy, Suite 3, Lafayette, LA 70508-6984 |
| Vernon A Valentino | Cardiovascular Disease (cardiology) | 5000 Ambassador Caffery Pkwy, Bldg 1, Lafayette, LA 70508-6984 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason W Prevost | Chiropractic | 2111 W Pinhook Rd A, Integrated Health, Lafayette, LA 70508-1504 | |
| Kimberly V Hull | Nurse Practitioner | Lhc Physician Services, LLC | 901 Hugh Wallis Rd S, Lafayette, LA 70508-2511 |
| Roseanna Laporte | Nurse Practitioner | Lhc Physician Services, LLC | 901 Hugh Wallis Rd S, Lafayette, LA 70508-2511 |
| Mia H Rabalais | Nurse Practitioner | Lhc Physician Services, LLC | 901 Hugh Wallis Rd S, Lafayette, LA 70508-2511 |
| Simone L Babineaux | Nurse Practitioner | Lhc Physician Services, LLC | 901 Hugh Wallis Rd S, Lafayette, LA 70508-2511 |
| Jayson A Thornhill | Nurse Practitioner | Lhc Physician Services, LLC | 901 Hugh Wallis Rd S, Lafayette, LA 70508-2511 |
| Casey A Robinson | Clinical Social Worker | 200 La Rue France, Suite 101, Lafayette, LA 70508-3104 | |
| Rachel Lacy Broussard | Clinical Social Worker | 200 La Rue France, Lafayette, LA 70508-3104 | |
| Joshua G Bailey | Chiropractic | Pinhook Chiropractic Clinic LLC | 100 La Rue France, Lafayette, LA 70508-3112 |
| Brad A Grizzaffi | Chiropractic | Pinhook Chiropractic Clinic LLC | 100 La Rue France, Lafayette, LA 70508-3112 |
| Find all physicians in zip 70508 | |||
| City | LAFAYETTE |
| Zip Code | 70508 |
| Specialty | THORACIC SURGERY |
| City + Specialty | LAFAYETTE + THORACIC SURGERY |
Please comment or provide details below to improve the information on Imtiaz R Khan.
| 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.