Joseph Jameel Khan, MD
Individual provider Active NPI Emergency Medicine Physician · Moscow, OH
NPI 1861693483 · NPPES record last updated May 29, 2013
Key facts
- NPI
- 1861693483
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 35.096013 (OH)
- Practice address
- 1855 Moscow Cemetary Rd
Moscow, OH 45153-9792 - Phone
- (513) 553-7899
- NPI assigned
- May 30, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100924000062 | OH | Practitioner - Emergency Medicine | 3173649415 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.096013 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Emergency Professionals Inc | Emergency Medicine | Current |
Accepting new patients |
| Qualified Emergency Specialists Inc | Emergency Medicine | Past | Accepting new patients |
Locations
630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35.096013 | OH | Yes |
Addresses
Primary practice location
1855 Moscow Cemetary Rd
Moscow, OH 45153-9792
Mailing address
1855 Moscow Cemetary Rd
Moscow, OH 45153-9792
Phone (513) 553-7899
Other providers in Moscow, OH
- Edna Burns
- Patricia Jane Cochran
- Andrea Beth Corbin
- Aubrey Camille Corbin
- Rosetta Fisher
- Chaundra Lyn Knight
- Township of Washington
- Kelly Wells
All providers in Moscow, OH · Emergency Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.