Rakesh V Khanna (NPI# 1326278458, PAC ID# 9133275118) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1326278458 |
| PAC ID by PECOS | 9133275118 |
| Professional Enrollment ID | I20110830000035 |
| Full Name | Rakesh V Khanna |
| Organization Legal Name | UPSTATE UROLOGY, INC. |
| Address |
4900 Broad Rd Syracuse NY 13215-2265 |
| Phone Number | 3154923700 |
| Gender | M |
| Graduation Year | 2003 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 1254492952 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330241 | UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER |
| 330215 | ROME MEMORIAL HOSPITAL, INC |
| Address | Phone | Organization |
|---|---|---|
| 4900 Broad Rd, Syracuse, NY 13215-2265 | 3154923700 | UPSTATE UROLOGY, INC. |
| Organization Legal Name | UPSTATE UROLOGY, INC. |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dmitriy Nikolavsky | Urology | Upstate Urology, Inc. | 4900 Broad Rd, Syracuse, NY 13215-2265 |
| Ruben M Pinkhasov | Urology | Upstate Urology, Inc. | 750 E Adams St, Syracuse, NY 13210-2342 |
| Christine M Feliu | Nurse Practitioner | Upstate Urology, Inc. | 750 E Adams St, Syracuse, NY 13210-2342 |
| Joseph M Jacob | Urology | Upstate Urology, Inc. | 750 E Adams St, Syracuse, NY 13210-2342 |
| J C Trussell | Urology | Upstate Urology, Inc. | 750 E Adams St, Syracuse, NY 13210-2342 |
| Natasha Ginzburg | Urology | Upstate Urology, Inc. | 750 E Adams St, Syracuse, NY 13210-2342 |
| Imad S Nsouli | Urology | Upstate Urology, Inc. | 750 E Adams St, Syracuse, NY 13210-2342 |
| Gennady Bratslavsky | Urology | Upstate Urology, Inc. | 750 E Adams St, Syracuse, NY 13210-2342 |
| Ryan Christopher Sidebottom | Urology | Upstate Urology, Inc. | 750 E Adams St, Syracuse, NY 13210-2342 |
| Sarah L Eanniello | Nurse Practitioner | Upstate Urology, Inc. | 750 E Adams St, Syracuse, NY 13210-2342 |
| Street Address |
4900 BROAD RD |
| City | SYRACUSE |
| State | NY |
| Zip | 13215-2265 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew D Hood | Physician Assistant | Upstate Community Medical, PC | 4900 Broad Rd, Syracuse, NY 13215-2265 |
| Tanya M. George | Hospitalist | Upstate Community Medical, PC | 4900 Broad Rd, Suite D1, Syracuse, NY 13215-2265 |
| Heidi Glovack | Certified Registered Nurse Anesthetist (crna) | Chag Anesthesia PC | 4900 Broad Rd, Syracuse, NY 13215-2265 |
| Marc A Therrien | Certified Registered Nurse Anesthetist (crna) | Chag Anesthesia PC | 4900 Broad Rd, Syracuse, NY 13215-2265 |
| Michael J Hoskin | Certified Registered Nurse Anesthetist (crna) | Chag Anesthesia PC | 4900 Broad Rd, Syracuse, NY 13215-2265 |
| Sindhuri Gayam | Hospitalist | Upstate Community Medical, PC | 4900 Broad Rd, Syracuse, NY 13215-2265 |
| Alfredo Lopez | Obstetrics/gynecology | Upstate Community Medical, PC | 4900 Broad Rd, Syracuse, NY 13215-2265 |
| Jessica T Di Peso | Nurse Practitioner | Upstate Community Medical, PC | 4900 Broad Rd, Suite D1, Syracuse, NY 13215-2265 |
| Robert T Weinheimer | Physician Assistant | Upstate Community Medical, PC | 4900 Broad Rd, Syracuse, NY 13215-2265 |
| John Hergert | Certified Registered Nurse Anesthetist (crna) | Chag Anesthesia PC | 4900 Broad Rd, Syracuse, NY 13215-2265 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harriet Casey | Clinical Social Worker | 4175 Old Winding Way, Syracuse, NY 13215-1240 | |
| Christina Talev Legg | Physical Therapy | Home Stretch Physical Therapy, P.C. | 4279 Crested Butte Run, Syracuse, NY 13215-1355 |
| Johanna W Povlock | Occupational Therapy | Home Stretch Physical Therapy, P.C. | 4279 Crested Butte Run, Syracuse, NY 13215-1355 |
| Robert B Allen | Physical Therapy | Home Stretch Physical Therapy, P.C. | 4279 Crested Butte Run, Syracuse, NY 13215-1355 |
| Antoinette M Eicholzer | Physical Therapy | Home Stretch Physical Therapy, P.C. | 4279 Crested Butte Run, Syracuse, NY 13215-1355 |
| Ann M Hardt | Physical Therapy | Home Stretch Physical Therapy, P.C. | 4279 Crested Butte Run, Syracuse, NY 13215-1355 |
| Stephen A Driscoll | Psychologist, Clinical | 505 Winkworth Pkwy, Syracuse, NY 13215-1553 | |
| Anna-marie Simpson | Chiropractic | Simpson Family Wellness Chiropractic, Pllc | 4922 W Seneca Tpke, Syracuse, NY 13215-2225 |
| Roger G Levine | Psychiatry | 4914 W Seneca Tpke, Syracuse, NY 13215-2225 | |
| Kristin D Fusco | Chiropractic | Simpson Family Wellness Chiropractic, Pllc | 4922 W Seneca Tpke, Syracuse, NY 13215-2225 |
| Find all physicians in zip 13215 | |||
| City | SYRACUSE |
| Zip Code | 13215 |
| Specialty | UROLOGY |
| City + Specialty | SYRACUSE + UROLOGY |
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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.