Dr Issa Pour Ghaz, MD | |
409 W Oak St, Carbondale, IL 62901-1464 | |
(618) 529-4455 | |
(618) 351-1287 |
Full Name | Dr Issa Pour Ghaz |
---|---|
Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 409 W Oak St, Carbondale, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265962450 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 036163430 (Illinois) | Primary |
Entity Name | Harrisburg Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396878658 PECOS PAC ID: 9638083884 Enrollment ID: O20031113000179 |
Entity Name | Southern Illinois Medical Services Nfp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
Mailing Address | Practice Location Address |
---|---|
Dr Issa Pour Ghaz, MD Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Dr Issa Pour Ghaz, MD 409 W Oak St, Carbondale, IL 62901-1464 Ph: (618) 529-4455 |
Melissa Andrea Martinez Mateo, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Stuart Kent Lankford, PA-C Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1350 Cedar Ct, Carbondale, IL 62901 Phone: 618-529-2955 Fax: 618-457-7823 | |
Dr. Anil N Parikh, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0449 | |
Nathaniel Clark, P.A. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 409 W Oak St, Carbondale, IL 62901 Phone: 618-529-4455 Fax: 618-351-1287 | |
Dr. Is-haq Malik, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Arslan Mirza, M.D Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 409 W Oak St, Carbondale, IL 62901 Phone: 618-529-4455 Fax: 618-351-1287 | |
Dr. Motaz R Wraikat, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 |