DR. ZINAT K KHANDEKAR (NPI# 1184643686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184643686 |
| Entity Type | Individual |
| Full Name | DR. ZINAT K KHANDEKAR |
| Credential | M.D. |
| Practice Address |
3550 Highway 468 West Whitfield MS 39193-0157 |
| Mailing Address |
Po Box 157a Whitfield MS 39193-0157 |
| Practice Telephone | 6013518000 |
| Practice Fax Number | 6013518301 |
| Mailing Telephone | 6013518000 |
| Mailing Fax Number | 6013518301 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 18577 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 07408359 | 05 |
| Street Address |
3550 HIGHWAY 468 WEST |
| City | WHITFIELD |
| State | MS |
| Zip Code | 39193-0157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861446668 | William P. Stone | Dentist | 3550 Highway 468 West, Whitfield, MS 39193-0157 | 2006-05-19 |
| 1629371653 | Elizabeth P Bragg | Nurse Practitioner | 3550 Highway 468 West, Whitfield, MS 39193-0157 | 2010-12-14 |
| 1457579138 | June C Hill | Nurse Practitioner | 3550 Highway 468 West, Whitfield, MS 39193-0157 | 2007-04-20 |
| 1356482459 | Khaled Nadim Abu-hamdan | Psychiatry & Neurology | 3550 Highway 468 West, Whitfield, MS 39193 | 2007-02-09 |
| 1326195728 | Sheryl Ann Smothers Heffernen | Psychiatry & Neurology | 3550 Highway 468 West, Whitfield, MS 39193-0157 | 2007-01-05 |
| 1003972928 | Jackie C Dyess | Nurse Practitioner | 3550 Highway 468 West, Whitfield, MS 39193-0157 | 2006-12-28 |
| 1710042585 | Craig Leopold Escude | Family Medicine | 3550 Highway 468 West, Whitfield, MS 39193-0157 | 2006-12-22 |
| 1629133400 | Gary Alan Roberson | Psychiatry & Neurology | 3550 Highway 468 West, Whitfield, MS 39193-0157 | 2006-12-22 |
| 1679635452 | Martha Jean Murray | General Practice | 3550 Highway 468 West, Whitfield, MS 39193-0157 | 2006-12-15 |
| 1841364577 | Andrea M Prince | Family Medicine | 3550 Highway 468 West, Whitfield, MS 39193-0157 | 2006-11-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487150116 | Juletta Chisholm | Nurse Practitioner | 100 Hudspeth Center Dr, Whitfield, MS 39193 | 2018-04-02 |
| 1295014744 | Shazia Mulkana Frothingham | Psychologist | Building 51/psychological Services, Mississippi State Hospital, Whitfield, MS 39193 | 2011-08-15 |
| 1699803395 | Walter Robert Jones Jr. | Psychiatric Unit | Hwy 468, Hudspeth Regional Center, Whitfield, MS 39193 | 2007-03-02 |
| 1750448718 | Hudspeth Regional Center | Intermediate Care Facility, Mentally Retarded | Highway 475 South, Whitfield, MS 39193 | 2007-01-02 |
| 1447315411 | Hudspeth Center Pharmacy | Pharmacy | 100 Hudspeth Center Drive, Whitfield, MS 39193 | 2006-12-27 |
| 1598750135 | Mississippi State Hospital | Pharmacy | 3550 Highway 468 W, Whitfield, MS 39193 | 2005-09-20 |
| 1346234184 | Hudspeth Center Pharmacy | Intermediate Care Facility, Mentally Retarded | Highway 475, Whitfield, MS 39193 | 2005-09-08 |
| 1598256018 | Katherine Willoughby Carter | Occupational Therapist | 157 Building #27, Whitfield, MS 39193 | 2018-05-21 |
| 1316377633 | Hudspeth Regional Center | Intermediate Care Facility, Mentally Retarded | 100 Hudspeth Center Drive, Whitfield, MS 39193 | 2013-11-22 |
| 1114210630 | Hudspeth Regional Center | Dentist | Highway 475 South, Whitfield, MS 39193 | 2011-05-17 |
| Find all providers in zip 39193 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003107194 | Karen Marie Whitney | Family Medicine | 3550 Hwy 468 West, Whitfield, MS 39193-0157 | 2011-04-25 |
| 1710042585 | Craig Leopold Escude | Family Medicine | 3550 Highway 468 West, Whitfield, MS 39193-0157 | 2006-12-22 |
| 1841364577 | Andrea M Prince | Family Medicine | 3550 Highway 468 West, Whitfield, MS 39193-0157 | 2006-11-17 |
| 1154410900 | Wiiliam D Coughlin | Family Medicine | 3550 Highway 468 West, Whitfield, MS 39193-0157 | 2006-10-12 |
| 1831106418 | Edward A Brewer Jr. | Family Medicine | 3550 Highway 468 W, Whitfield, MS 39193-5529 | 2006-08-03 |
| 1598700577 | Stephen B. Shoop | Family Medicine | 3550 Highway 468 West, Whitfield, MS 39193-0157 | 2006-06-16 |
| 1376587956 | Timothy D. Shumaker | Family Medicine | 3550 Highway 468 West, Whitfield, MS 39193-0157 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900581 | Maegan Cook Bridges | Family Medicine | 312 Ridge Pointe Dr, Brandon, MS 39042-5035 | 2020-10-24 |
| 1003415266 | Christian Fortenberry | Family Medicine | 786 Lake Harbour Dr, Ridgeland, MS 39157-4303 | 2020-10-20 |
| 1457967226 | Tiffine Lynn Prisock | Family Medicine | 24978 Ms-15, Mathiston, MS 39752 | 2020-09-17 |
| 1851902860 | Jasmine Lester | Family Medicine | 538 Getwell Rd S, Hernando, MS 38632-9585 | 2020-08-12 |
| 1942810569 | Ericka Marcene Williams | Family Medicine | 1031 Northridge Rd Ste A, Baldwyn, MS 38824-1173 | 2020-08-07 |
| 1316557986 | Independent Healthcare Management, Inc | Family Medicine | 376 Simpson Highway 149 Ste 600, Magee, MS 39111-3572 | 2020-08-07 |
| 1164031373 | Rohith Reddy Guduru Venkata | Family Medicine | Delta Regional Medical Center, 1400 E Union St, Greenville, MS 38703 | 2020-07-24 |
| 1831707470 | Rebecca Holmes | Family Medicine | 42 Atley Holmes Rd # Rs, Jayess, MS 39641-8272 | 2020-07-20 |
| 1497373344 | Dhruval Patel | Family Medicine | 564 Cypress Ln Apt 11d, Greenville, MS 38701-7415 | 2020-07-08 |
| 1881211258 | Tiffany Chapman | Family Medicine | 905 S Frontage Rd, Meridian, MS 39301-6113 | 2020-07-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.