Adeel I Khan (NPI# 1790993863, PAC ID# 7911191929) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1790993863 |
| PAC ID by PECOS | 7911191929 |
| Professional Enrollment ID | I20110725000511 |
| Full Name | Adeel I Khan |
| Organization Legal Name | MERCY CLINIC PULMONOLOGY WASHINGTON LLC |
| Address |
1326 S Service Rd W Suite 20 Sullivan MO 63080-2306 |
| Phone Number | 6362316245 |
| Gender | M |
| Graduation Year | 2000 |
| Primary Specialty | PULMONARY DISEASE |
| Secondary Specialties | HOSPITALIST |
| Group Practice PAC ID | 4981728615 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260052 | MERCY HOSPITAL WASHINGTON |
| Address | Phone | Organization |
|---|---|---|
| 101 Progress Pkwy, Sullivan, MO 63080-2359 | 5734683555 | MERCY CLINIC PULMONOLOGY WASHINGTON LLC |
| 1326 S Service Rd W, Suite 20, Sullivan, MO 63080-2306 | 6362316245 | MERCY CLINIC PULMONOLOGY WASHINGTON LLC |
| 901 Patients 1st Dr, Suite 3400, Washington, MO 63090-4700 | 6362316245 | MERCY CLINIC PULMONOLOGY WASHINGTON LLC |
| Organization Legal Name | MERCY CLINIC PULMONOLOGY WASHINGTON LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Umer H Siddiqui | Pulmonary Disease | Mercy Clinic Pulmonology Washington LLC | 20 The Legends Pkwy, Eureka, MO 63025-3801 |
| Wilman R Ortega Perez | Critical Care (intensivists) | Mercy Clinic Pulmonology Washington LLC | 1000 E Cherry St, Suite 3, Troy, MO 63379-1513 |
| Street Address |
1326 S SERVICE RD W SUITE 20 |
| City | SULLIVAN |
| State | MO |
| Zip | 63080-2306 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katie Iliff | Occupational Therapy | 103 Grande Ctr, Sullivan, MO 63080-1266 | |
| Lindsay Arnette | Physical Therapy | Therapy Lifetime Consultants, LLC | 103 Grande Ctr, Sullivan, MO 63080-1266 |
| Meghan Joyce Berti | Speech Language Pathologist | Therapy Lifetime Consultants, LLC | 103 Grande Ctr, Sullivan, MO 63080-1266 |
| Mary E Hulsey | Occupational Therapy | Therapy Lifetime Consultants, LLC | 103 Grande Ctr, Sullivan, MO 63080-1266 |
| David P Prange | Optometry | Stroetker Prange Riley Optometrists PC | 280 E Springfield Rd, Sullivan, MO 63080-1364 |
| Joseph Aemilius Stroetker | Optometry | Stroetker Prange Riley Optometrists PC | 280 E Springfield Rd, Sullivan, MO 63080-1364 |
| Jason T Riley | Optometry | Stroetker Prange Riley Optometrists PC | 280 E Springfield Rd, Sullivan, MO 63080-1364 |
| Kyle Sherwood | Optometry | Stroetker Prange Riley Optometrists PC | 280 E Springfield Rd, Sullivan, MO 63080-1364 |
| Felipe A Eljaiek | Internal Medicine | Mercy Clinic East Communities | 1326 S Service W Rd, Suite 20, Sullivan, MO 63080-2306 |
| Thomas H Landon | Urology | Mercy Clinic Urology LLC | 1326 S Service W Rd, Suite 30, Sullivan, MO 63080-2306 |
| Find all physicians in zip 63080 | |||
| City | SULLIVAN |
| Zip Code | 63080 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | SULLIVAN + PULMONARY DISEASE |
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| 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.