Nasiruddin Khokhar, MD | |
1404 Eastland Dr Ste 103, Bloomington, IL 61701-7904 | |
(309) 434-3151 | |
Not Available |
Full Name | Nasiruddin Khokhar |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1404 Eastland Dr Ste 103, 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 |
---|---|---|---|
1093459299 | NPI | - | NPPES |
D13978 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036-058827 (Illinois) | Primary |
Entity Name | Mycare Express Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396464657 PECOS PAC ID: 3870960172 Enrollment ID: O20221028002232 |
Mailing Address | Practice Location Address |
---|---|
Nasiruddin Khokhar, MD 1901 Woodbine Rd, Bloomington, IL 61704-2811 Ph: () - | Nasiruddin Khokhar, MD 1404 Eastland Dr Ste 103, Bloomington, IL 61701-7904 Ph: (309) 434-3151 |
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 | |
Kumarpal Shrishrimal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, Ste 3000, Bloomington, IL 61701 Phone: 309-676-8123 Fax: 309-676-8455 | |
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 | |
Robert Bruha, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1404 Eastland Dr Ste 103, Bloomington, IL 61701 Phone: 309-676-8123 Fax: 309-676-8455 | |
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 |