KHAZRAJ ABBAS FADHIL (NPI# 1205190899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205190899 |
Entity Type | Individual |
Full Name | KHAZRAJ ABBAS FADHIL |
Credential | M.D. |
Practice Address |
1108 Ross Clark Cir Dothan AL 36301-3022 |
Practice Telephone | 3347938111 |
Mailing Telephone | 3347938111 |
Enumeration Date | 2012-06-27 |
Last Update Date | 2020-05-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 73201 | GA | Allopathic & Osteopathic Physicians |
N | 207R00000X | Internal Medicine | MD.35140 | AL | Allopathic & Osteopathic Physicians |
Y | 208M00000X | Hospitalist | 73201 | GA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
677 Church St Ne # 111, Marietta, GA 300601101 | 7707937750 |
Street Address |
1108 ROSS CLARK CIR |
City | DOTHAN |
State | AL |
Zip Code | 36301-3022 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679576268 | Judith L Bosse | Nurse Practitioner | 1108 Ross Clark Cir, Hospitalist Office, Dothan, AL 36301-3022 | 2005-05-27 |
1811597073 | Michael Brian Pierce | Registered Nurse | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2020-10-27 |
1659990901 | Robert Dale Garrett | Nurse Anesthetist, Certified Registered | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2020-04-15 |
1861028607 | Richard Henry Jester | Physician Assistant | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2020-03-12 |
1467017335 | Keaton Peak | Registered Nurse | 1108 Ross Clark Cir, Dothan, AL 36301 | 2019-05-07 |
1396214060 | Shalita Clark | Psychiatry & Neurology | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2018-11-24 |
1619452760 | Drew Mckenzie Hubbard | Registered Nurse | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2018-09-25 |
1609359926 | Amber Salmon | Dietitian, Registered | 1108 Ross Clark Cir, Dothan, AL 36301-3024 | 2018-09-12 |
1255825832 | Shannon Louette Skaug | Nurse Practitioner | 1108 Ross Clark Cir, Dothan, AL 36301-3024 | 2018-06-18 |
1225529712 | Vyshnavi Kone | Student in an Organized Health Care Education/Training Program | 1108 Ross Clark Cir, Dothan, AL 36301 | 2018-05-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043862931 | Pharmacy Center South LLC | Pharmacy | 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 | 2019-07-11 |
1851879167 | Attallah Cotton | Social Worker | 101 Eastridge Dr, Dothan, AL 36301 | 2018-07-31 |
1225522709 | Nichole Johnson Prestwood | Nurse Practitioner | 2431 W Main St Ste 501, Dothan, AL 36301 | 2018-06-19 |
1750805818 | Kimberly Danielle Austin | Speech-Language Pathologist | 404 Darlington Cir, Dothan, AL 36301 | 2017-07-31 |
1952794885 | Lori P. Granberry | Pharmacist | 2131 Ross Clark Circle, Dothan, AL 36301 | 2015-03-17 |
1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
1720407646 | Michael Kreger | Anesthesiology | 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 | 2014-04-08 |
1063851277 | Carlos Stanford Clark II | Family Medicine | 201 Doctors Drive, Dothan, AL 36301 | 2013-06-20 |
1639489313 | Robert Fort Hambaugh Jr. | Specialist | 712 Woodland Drive, Dothan, AL 36301 | 2010-10-15 |
1588894976 | Atwill Lamar Miller Jr. | Urology | 1908 Fairview Avenue, Dothan, AL 36301 | 2009-07-20 |
Find all providers in zip 36301 |
Taxonomy Code | 208M00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Hospitalist |
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245713684 | App of Alabama Hm, LLC | Hospitalist | 4370 W Main St, Dothan, AL 36305-1056 | 2018-09-12 |
1992178628 | Northern Alabama Physicians, LLP | Hospitalist | 4370 W Main St, Dothan, AL 36305-1056 | 2015-11-03 |
1730384421 | Mary Grace Soon | Hospitalist | 4370 W Main St, Dothan, AL 36305-1056 | 2007-06-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104343581 | Summit Physician Group LLP | Hospitalist | 2700 Hospital Dr Ofc 1, Northport, AL 35476-3360 | 2017-08-25 |
1891226106 | Kelsey King | Hospitalist | 619 19th St S # Wpp915, Birmingham, AL 35249-0001 | 2017-03-27 |
1649727694 | Whatley Health Services, Inc. | Hospitalist | 508 Green Street, Greensboro, AL 36744-2316 | 2016-09-07 |
1174767974 | Norwood Neurology Inc | Hospitalist | 920 Castlemaine Ct, Birmingham, AL 35226-5916 | 2009-04-23 |
1467613729 | Xinyu Chen | Hospitalist | 8712 Marsh Ridge Dr, Montgomery, AL 36117-8509 | 2008-06-19 |
1043479124 | Felix R Dulanto | Hospitalist | 7625 Old Springville Rd, Trussville, AL 35173-1739 | 2008-06-04 |
1184809659 | Kenyetta Terrell | Hospitalist | Wp P915 619 19th Street South, Birmingham, AL 35249-8907 | 2008-01-03 |
1487694782 | Fort Payne Hospital Corporation | Hospitalist | 200 Medical Center Dr., Fort Payne, AL 35968 | 2006-06-07 |
1083663579 | Fort Payne Hospital Organization | Hospitalist | 200 Medical Centre Dr., Fort Payne, AL 35968 | 2006-05-10 |
1235116971 | Steven Craig Smith | Hospitalist | 995 9th Ave Sw, Suite 305, Bessemer, AL 35022-4527 | 2005-12-23 |
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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.