Dr Paul S Edwards, MD | |
1050 Martin Luther King Drive, Suite 108, Centralia, IL 62801 | |
(618) 532-3517 | |
(618) 532-0801 |
Full Name | Dr Paul S Edwards |
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Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 1050 Martin Luther King Drive, Centralia, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306122163 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 036129055 (Illinois) | Primary |
Entity Name | Northwest Iowa Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215962550 PECOS PAC ID: 0749198026 Enrollment ID: O20040217000619 |
Mailing Address | Practice Location Address |
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Dr Paul S Edwards, MD 1050 Martin Luther King Drive, Suite 108, Centralia, IL 62801 Ph: (618) 532-3517 | Dr Paul S Edwards, MD 1050 Martin Luther King Drive, Suite 108, Centralia, IL 62801 Ph: (618) 532-3517 |
Dr. Rajendra R Shroff, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1050 M L King Dr, Suite 101, Centralia, IL 62801 Phone: 618-532-5700 Fax: 618-532-7390 | |
Maria Riaz, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1441 W Broadway, Centralia, IL 62801 Phone: 618-532-9050 | |
Mr. Aziz U Rahman, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1050 M L King Dr, Suite 109, Centralia, IL 62801 Phone: 618-532-0998 Fax: 618-532-0304 | |
Dr. Stephen T Ang, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1054 M L King Dr, Suite 120, Centralia, IL 62801 Phone: 618-532-1688 Fax: 618-532-1689 | |
Gibran Hamid Mahmud, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1052 M L King Dr, Suite 2, Centralia, IL 62801 Phone: 618-436-5410 Fax: 618-436-8063 | |
Dr. Suresh Krishnamoorthy, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1054 M L King Dr, Suite 126, Centralia, IL 62801 Phone: 618-533-5500 Fax: 618-533-5501 |