Khadija Wiese (NPI# 1730514787, PAC ID# 5496982720) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1730514787 |
| PAC ID by PECOS | 5496982720 |
| Professional Enrollment ID | I20131212000970 |
| Full Name | Khadija Wiese |
| Organization Legal Name | FIRST CHOICE WALK-IN MEDICAL CARE P.C |
| Address |
21012 Northern Blvd Bayside NY 11361-3240 |
| Phone Number | 7182292273 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6002047941 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 21012 Northern Blvd, Bayside, NY 11361-3240 | 7182292273 | FIRST CHOICE WALK-IN MEDICAL CARE P.C |
| Organization Legal Name | FIRST CHOICE WALK-IN MEDICAL CARE P.C |
| Physicians | 1 |
| Street Address |
21012 NORTHERN BLVD |
| City | BAYSIDE |
| State | NY |
| Zip | 11361-3240 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ketan D Vora | Physical Medicine and Rehabilitation | Ketan D Vora Do PC | 213 -15 Bell Boulevard, Bayside, NY 11361 |
| Alireza Shirvani | Internal Medicine | 3501 202nd St, Bayside, NY 11361-1117 | |
| William M Duke Jr. | Internal Medicine | 3501 202nd St, Bayside, NY 11361-1117 | |
| Inna Janas | Internal Medicine | Nandi Janas Medical, P.C. | 3501 202nd St, Bayside, NY 11361-1117 |
| Andrew L Isopo | Internal Medicine | Ny Priority Medical Care Pllc | 3501 202nd St, Bayside, NY 11361-1117 |
| Mariangela Penna | Chiropractic | 20919 34th Rd, Bayside, NY 11361-1424 | |
| Jia Park | Family Medicine | 210 - 08, Bayside, NY 11361-1431 | |
| Kyung H Yoo | Physical Therapy | 21315 33rd Rd, Bayside, NY 11361-1508 | |
| Ravi Loona | Orthopedic Surgery | 21135 34th Rd, Bayside, NY 11361-1512 | |
| Michael Baron | Oral Surgery | 34 -43, Bayside, NY 11361-1554 | |
| Find all physicians in zip 11361 | |||
| City | BAYSIDE |
| Zip Code | 11361 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BAYSIDE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Khadija Wiese.
| 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.