Azfar Khan Niazi, MD | |
1505 Eastland Dr Ste 330, Bloomington, IL 61701-7912 | |
(309) 662-3311 | |
(309) 662-9709 |
Full Name | Azfar Khan Niazi |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1505 Eastland Dr Ste 330, Bloomington, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942879309 | NPI | - | NPPES |
UPIN | Medicaid | MD | |
UPIN | Other | N/A |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D0100147 (Maryland) | Secondary |
208M00000X | Hospitalist | D0100147 (Maryland) | Secondary |
207R00000X | Internal Medicine | 036171898 (Illinois) | Primary |
Entity Name | Greater Baltimore Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891855763 PECOS PAC ID: 1759276975 Enrollment ID: O20040217000852 |
Entity Name | Adfinitas Health At Upper Chesapeake Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164134037 PECOS PAC ID: 6305202540 Enrollment ID: O20230515001078 |
Entity Name | Adfinitas Health At Upper Chesapeake Aberdeen Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346941010 PECOS PAC ID: 8022475581 Enrollment ID: O20230530000304 |
Mailing Address | Practice Location Address |
---|---|
Azfar Khan Niazi, MD 1505 Eastland Dr Ste 330, Bloomington, IL 61701-7912 Ph: (309) 662-3311 | Azfar Khan Niazi, MD 1505 Eastland Dr Ste 330, Bloomington, IL 61701-7912 Ph: (309) 662-3311 |
Dr. Venkata Ranganadh Dodda, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Suite 320, Bloomington, IL 61701 Phone: 309-661-2368 | |
Mr. Kenneth Schoenig, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1228 Towanda Ave Ste 1, Bloomington, IL 61701 Phone: 309-454-5900 Fax: 309-454-2820 | |
Dr. Robert Edward Clark, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1228 Towanda Ave Ste 1, Bloomington, IL 61701 Phone: 309-454-5900 Fax: 309-454-2820 | |
Kenneth H. Inoue, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Bloomington, IL 61701 Phone: 309-661-2368 Fax: 309-662-9709 | |
Paul Pedersen, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3120 Fax: 309-663-5742 | |
Rajeev Varma, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1505 Eastland Dr Ste 320, Bloomington, IL 61701 Phone: 309-661-2368 Fax: 309-662-9709 | |
Nasiruddin Khokhar, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1404 Eastland Dr Ste 103, Bloomington, IL 61701 Phone: 309-434-3151 |