Dr Imran Kazem, MD | |
253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | |
(765) 448-8000 | |
Not Available |
Full Name | Dr Imran Kazem |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 23 Years |
Location | 253 Sagamore Pkwy W, West Lafayette, Indiana |
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 |
---|---|---|---|
1275616005 | NPI | - | NPPES |
000001144399 | Other | IN | ANTHEM PROVIDER NUMBER |
192198 | Medicaid | AZ | |
300010466 | Medicaid | IN | |
1Z7086 | Other | AZ | HEALTH NET OF ARIZONA |
AZ0221810 | Other | AZ | BCBSAZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 36483 (Arizona) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 01063605A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Indiana University Health Arnett Hospital | Lafayette, IN | Hospital |
Indiana University Health White Memorial Hospital | Monticello, IN | Hospital |
Indiana University Health Frankfort Inc | Frankfort, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Arnett Clinic Llc | 0749184380 | 382 |
Entity Name | Arnett Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119 |
Mailing Address | Practice Location Address |
---|---|
Dr Imran Kazem, MD 1200 W White River Blvd, Muncie, IN 47303-4988 Ph: (877) 668-5621 | Dr Imran Kazem, MD 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 Ph: (765) 448-8000 |
Paul E Timperman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 253 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-448-8000 | |
Phyllis Martin-simmerman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 253 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-448-8000 Fax: 765-448-8335 | |
Dr. Luke Gerges, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 253 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-448-8000 | |
Dr. Joshua Austin Nepute, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 253 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-448-8000 | |
Jeffrey S. Cahoon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 253 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-448-8000 Fax: 765-446-7085 | |
Kenneth E Marnocha, MD Radiology Medicare: Medicare Enrolled Practice Location: 253 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-448-8000 |