Dr Ahamed Vp Kutty, MD | |
19 Heritage Dr, Ste 105, Bourbonnais, IL 60914-1369 | |
(815) 933-3814 | |
(815) 933-3846 |
Full Name | Dr Ahamed Vp Kutty |
---|---|
Gender | Male |
Speciality | Internal Medicine - Pulmonary Disease |
Location | 19 Heritage Dr, Bourbonnais, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881624054 | NPI | - | NPPES |
036052767 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 0030360527671 (Illinois) | Primary |
Entity Name | Riverside Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417061193 PECOS PAC ID: 3274434717 Enrollment ID: O20040116000780 |
Mailing Address | Practice Location Address |
---|---|
Dr Ahamed Vp Kutty, MD 19 Heritage Dr, Ste 105, Bourbonnais, IL 60914-1369 Ph: (815) 933-3814 | Dr Ahamed Vp Kutty, MD 19 Heritage Dr, Ste 105, Bourbonnais, IL 60914-1369 Ph: (815) 933-3814 |
Dr. Lynn A Mcdonald, M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 482 Main St Nw, Bourbonnais, IL 60914 Phone: 815-936-3370 | |
Nadeem Ansari, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 400 Riverside Dr Ste 2100, Bourbonnais, IL 60914 Phone: 815-935-2784 Fax: 815-935-5687 | |
Dr. Dharam R Anand, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 100 Provena Way Ste D, Bourbonnais, IL 60914 Phone: 815-932-9210 Fax: 815-932-9220 | |
Dr. Paritosh Tiwari, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 20 Heritage Dr, Bourbonnais, IL 60914 Phone: 815-937-4880 Fax: 815-936-5173 | |
Krupa Mahesh Shah, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1615 N Convent St Ste 1, Bourbonnais, IL 60914 Phone: 815-937-5200 Fax: 815-937-2063 | |
Dr. Sarat Yalamanchili, M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1521 N Convent St Ste 101, Bourbonnais, IL 60914 Phone: 815-937-4500 Fax: 815-937-4777 | |
Sara Elizabeth Tan Yap, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 100 Fitness Dr, Bourbonnais, IL 60914 Phone: 815-936-8909 |