Divya Myadam Gupta, MD | |
645 N Michigan Ave Ste 1006, Chicago, IL 60611-2814 | |
(312) 926-3023 | |
(312) 472-0564 |
Full Name | Divya Myadam Gupta |
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Gender | Female |
Speciality | Internal Medicine - Hematology & Oncology |
Location | 645 N Michigan Ave Ste 1006, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366975583 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | 036165555 (Illinois) | Primary |
Entity Name | Northwestern Medical Faculty Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Mailing Address | Practice Location Address |
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Divya Myadam Gupta, MD 645 N Michigan Ave Ste 1006, Chicago, IL 60611-2814 Ph: (312) 926-3023 | Divya Myadam Gupta, MD 645 N Michigan Ave Ste 1006, Chicago, IL 60611-2814 Ph: (312) 926-3023 |
Dr. Sorin C Danciu, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 3134 N Clark St, Chicago, IL 60657 Phone: 773-880-9722 | |
Anoopa A. Koshy, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 259 E Erie St Ste 2200, Chicago, IL 60611 Phone: 312-926-6000 | |
William Edmond Gerardi, M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 3730 N Lake Shore Dr, Apartment 2a, Chicago, IL 60613 Phone: 773-244-3060 | |
Suparna Dutta, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1700 W Van Buren St, Suite 500, Chicago, IL 60612 Phone: 312-942-4200 Fax: 312-942-3568 | |
Alexandra Dumitrescu, Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 888-824-0200 | |
Dr. Mitesh Mahesh Kabadi, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St Ste 1159, Chicago, IL 60612 Phone: 312-942-5020 | |
Dr. Marta Batus, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St, Suite 809, Chicago, IL 60612 Phone: 312-563-2487 Fax: 312-942-3192 |