MEDICARE: KHM HEALTHCARE CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0206X	Mammography Clinic/Center
2	261QR0200X	Radiology Clinic/Center

General Provider Information

NPI Number	:	1861723926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KHM HEALTHCARE CORPORATION

Provider Business Mailing Address
First Line	:	1498M REISTERSTOWN RD
Second Line	:	SUITE 364
City	:	PIKESVILLE
State	:	MD
Zip	:	21208-3842
Country	:	US
Telephone Number	:	877-564-5227
Fax Number	:	877-564-3297

Provider Business Practice Location Address
First Line	:	1147 S HANOVER ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21230-3717
Country	:	US
Telephone Number	:	877-564-5227
Fax Number	:	877-564-3297

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	NEENA KANWAR
Credential	:
Telephone Number	:	877-564-5227

Provider Enumeration Date	:	01/28/2010
Last Update Date	:	01/28/2010

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Directions to “KHM HEALTHCARE CORPORATION ” Practice Location

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