Wasim A Khasawneh
MD | Pediatric Neonatal-Perinatal Medicine | Male
Wasim A Khasawneh, MD is a Lafayette, Indiana based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Wasim A Khasawneh is
2600 Greenbush St, Lafayette, Indiana - 47904-2477. He can be contacted on phone at
765-448-8000 and fax number 765-488-8564.
Wasim A Khasawneh is a sole proprietor of his business.
NPI number (Unique professional ID) for Wasim A Khasawneh is
1508054446 which was assigned by NPPES on 04 Oct, 2007 and it was last updated on 21 Jul, 2022.
Wasim A Khasawneh license number is
01075923A for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Indiana.
Wasim A Khasawneh is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Wasim A Khasawneh basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Wasim A Khasawneh |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Wasim A Khasawneh address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2600 Greenbush St
Lafayette, IN, 47904-2477
United States |
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| Phone Number : | 765-448-8000 |
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| Fax Number : | 765-488-8564 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1508054446 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 04 Oct, 2007 |
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| Last Updated On : | 21 Jul, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wasim A Khasawneh are as mentioned. Primary taxonomy code for Wasim A Khasawneh, MD is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 35.098001 | OH |
| 208000000X | Pediatrics | No | 01075923A | IN |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 01075923A | IN |
| 208000000X | Pediatrics | No | 57012659 | OH |
Legacy Identifiers:
Other legacy medical identifiers of Wasim A Khasawneh such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000000964894 | Other | IN | ANTHEM PROVIDER NUMBER |
| 201320950 | MEDICAID | IN | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
2651 E DISCOVERY PKWY,
BLOOMINGTON, IN, 47408-9059
United States | BLOOMINGTON, IN | 812-353-9852 |
9500 EUCLID AVE,
CLEVELAND, OH, 44195-0001
United States | CLEVELAND, OH | 216-444-5510 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | wkhasawneh@direct.iuhealth.org
| No affiliation | DIRECT
Direct
|
| 2651 E DISCOVERY PKWY,
BLOOMINGTON, IN, 47408-9059
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 250 N Shadeland Ave
Indianapolis, IN, 46219-4959
United States |
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Business Location:
Patients can refer following map for directions to
Wasim A Khasawneh practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.