Khadijah Y Jordan (NPI# 1528022688, PAC ID# 8123044344) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1528022688 |
| PAC ID by PECOS | 8123044344 |
| Professional Enrollment ID | I20051018000199 |
| Full Name | Khadijah Y Jordan |
| Address |
111 Medical Pkwy Suite 202 Chesapeake VA 23320-0303 |
| Gender | F |
| Credential | MD |
| Medical School | MOREHOUSE SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490120 | CHESAPEAKE REGIONAL MEDICAL CENTER |
| 490046 | SENTARA LEIGH HOSPITAL |
| 490017 | BON SECOURS MARYVIEW MEDICAL CENTER |
| 490119 | SENTARA PRINCESS ANNE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 111 Medical Pkwy, Suite 202, Chesapeake, VA 23320-0303 |
| Street Address |
111 MEDICAL PKWY SUITE 202 |
| City | CHESAPEAKE |
| State | VA |
| Zip | 23320-0303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krishna Brahma Sastry Topalli | Physical Medicine and Rehabilitation | 676 Battlefield Blvd, Suite B, Chesapeake, VA 23320-0306 | |
| Christopher C Fusco | Optometry | 812 Eden Way N, Chesapeake, VA 23320-0602 | |
| William L Mulligan | Psychologist, Clinical | William L Mulligan Phd PC | 1403 Greenbrier Pkwy, Suite 215, Chesapeake, VA 23320-0608 |
| Hannah Whitney Jones | Psychologist, Clinical | William L Mulligan Phd PC | 1403 Greenbrier Pkwy, Suite 215, Chesapeake, VA 23320-0608 |
| Brittany Lynn Montes | Psychologist, Clinical | William L Mulligan Phd PC | 1403 Greenbrier Pkwy, Suite 215, Chesapeake, VA 23320-0608 |
| Samantha L Zbur | Psychologist, Clinical | William L Mulligan Phd PC | 1403 Greenbrier Pkwy, Suite 215, Chesapeake, VA 23320-0608 |
| Cara Zuccarelli Eggers | Psychiatry | William L Mulligan Phd PC | 1403 Greenbrier Pkwy, Suite 215, Chesapeake, VA 23320-0608 |
| Bogdan Grynyk | Optometry | Myeyedr Optometry of Virginia, Pllc | 1401 Greenbrier Pkwy, Suite 1150, Chesapeake, VA 23320-0695 |
| Beth Winke | Interventional Pain Management | Winke Orthopedic Pain Management Center | 808 Eden Way N, Suite 102, Chesapeake, VA 23320-0745 |
| James Barry Sanderlin | Physical Medicine and Rehabilitation | Winke Orthopedic Pain Management Center | 808 Eden Way N, Suite 102, Chesapeake, VA 23320-0745 |
| Find all physicians in zip 23320 | |||
| City | CHESAPEAKE |
| Zip Code | 23320 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | CHESAPEAKE + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Khadijah Y Jordan.
| 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.