Dr Ibrahim A Mourad, MD | |
19550 E 39th St S, Suite 400, Independence, MO 64057-2303 | |
(816) 254-4800 | |
(816) 254-4641 |
Full Name | Dr Ibrahim A Mourad |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 43 Years |
Location | 19550 E 39th St S, Independence, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164497525 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 2009021594 (Missouri) | Secondary |
208M00000X | Hospitalist | 036-147746 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital | Belleville, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fairview Heights Medical Group Sc | 6800784083 | 346 |
Entity Name | Fairview Heights Medical Group Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20040309000650 |
Mailing Address | Practice Location Address |
---|---|
Dr Ibrahim A Mourad, MD 4500 Memorial Dr, Belleville, IL 62226-5360 Ph: (618) 257-6220 | Dr Ibrahim A Mourad, MD 19550 E 39th St S, Suite 400, Independence, MO 64057-2303 Ph: (816) 254-4800 |
Swapna Chebrolu, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 19550 E 39th Street, Independence, MO 64057 Phone: 816-698-8158 | |
Salil Balkrishna Kulkarni, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 19600 E 39th St S, Independence, MO 64057 Phone: 913-222-9779 Fax: 816-312-4380 | |
Jayne Lora Opena Bumgarner, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4801 S Cliff Ave, Suite 300, Independence, MO 64055 Phone: 816-251-5200 Fax: 816-251-5299 |