Yasmine Khan (NPI# 1972577518, PAC ID# 2860432184) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ENDOCRINOLOGY.
| Nation Provider ID (NPI) | 1972577518 |
| PAC ID by PECOS | 2860432184 |
| Professional Enrollment ID | I20050505001044 |
| Full Name | Yasmine Khan |
| Organization Legal Name | PROSPECT CT MEDICAL FOUNDATION, INC. |
| Address |
460 Hartford Tpke Suite A Vernon CT 06066-4847 |
| Phone Number | 8608964877 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1996 |
| Primary Specialty | ENDOCRINOLOGY |
| Group Practice PAC ID | 7416244496 |
| Number of Group Practice Members | 261 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070027 | MANCHESTER MEMORIAL HOSPITAL |
| 070012 | ROCKVILLE GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 460 Hartford Tpke, Suite A, Vernon, CT 06066-4847 | 8608964877 | PROSPECT CT MEDICAL FOUNDATION, INC. |
| Organization Legal Name | PROSPECT CT MEDICAL FOUNDATION, INC. |
| Physicians | 222 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eyone Jones | General Surgery | Prospect Ct Medical Foundation, Inc. | 18 Haynes St, Uppr Level, Manchester, CT 06040-4111 |
| Isaac Okyere Ampofo | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 629 Middle Tpke E, Manchester, CT 06040-3731 |
| Kelli A Harper | Family Medicine | Prospect Ct Medical Foundation, Inc. | 175 W Rd, Ellington, CT 06029-3730 |
| Marcy A Calsetta | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 520 Hartford Tpke, Suite M, Vernon, CT 06066-5044 |
| Michele P Barry | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 145 Union St, Vernon Rockville, CT 06066-3025 |
| Khadijat O Balogun | Gastroenterology | Prospect Ct Medical Foundation, Inc. | 353 Main St, Manchester, CT 06040-4145 |
| Juan Diego Holguin | General Surgery | Prospect Ct Medical Foundation, Inc. | 1625 Straits Tpke, Suite 200, Middlebury, CT 06762-1836 |
| Michael D Waddington | Neurology | Prospect Ct Medical Foundation, Inc. | 29 Haynes St, Suite D, Manchester, CT 06040-4139 |
| Wendy S Garvin | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 26 Shenipsh Lake Rd, Tolland, CT 06084-2332 |
| Charles A Mandelberg | Family Medicine | Prospect Ct Medical Foundation, Inc. | 28 Main St, East Hartford, CT 06118-3243 |
| Street Address |
460 HARTFORD TPKE SUITE A |
| City | VERNON |
| State | CT |
| Zip | 06066-4847 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Pt Gregory | Nurse Practitioner | Connecticut Back Center LLC | 460 Hartford Tpke, Vernon, CT 06066-4845 |
| Jesse Eisler | Orthopedic Surgery | Connecticut Back Center LLC | 460 Hartford Tpke, Vernon, CT 06066-4845 |
| Diana Wagner | Endocrinology | Prospect Ct Medical Foundation, Inc. | 460 Hartford Tpke, Suite A, Vernon, CT 06066-4847 |
| Shirley A Mendes | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 460 Hartford Tpke, Suite A, Vernon, CT 06066-4847 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marlene Marie Dolat | Nurse Practitioner | Prohealth Physicians PC | 554 Talcottville Rd, Vernon, CT 06066-2310 |
| James A Kelly | Nurse Practitioner | Prohealth Physicians PC | 554 Talcottville Rd, Vernon, CT 06066-2310 |
| Talia Nichols | Nurse Practitioner | Prohealth Physicians PC | 554 Talcottville Rd, Vernon, CT 06066-2310 |
| Kari J Daniels | Physician Assistant | Chandra K. Sacheti, M.d., LLC | 561 Talcottville Rd, Vernon, CT 06066-2311 |
| Chandra K Sacheti | Cardiovascular Disease (cardiology) | Chandra K. Sacheti, M.d., LLC | 561 Talcottville Rd, Vernon, CT 06066-2311 |
| Saurav Chatterjee | Cardiovascular Disease (cardiology) | Chandra K. Sacheti, M.d., LLC | 561 Talcottville Rd, Vernon, CT 06066-2311 |
| Dushyant N Gandhi | Cardiovascular Disease (cardiology) | Chandra K. Sacheti, M.d., LLC | 561 Talcottville Rd, Vernon, CT 06066-2311 |
| Michele P Barry | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 145 Union St, Vernon Rockville, CT 06066-3025 |
| Charles Vassilopoulos | Psychologist, Clinical | 147 Union St, Vernon Rockville, CT 06066-3025 | |
| Ruchi Sharma | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 145 Union St, Vernon Rockville, CT 06066-3025 |
| Find all physicians in zip 06066 | |||
| City | VERNON |
| Zip Code | 06066 |
| Specialty | ENDOCRINOLOGY |
| City + Specialty | VERNON + ENDOCRINOLOGY |
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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.