Dr Rama Shankar, MD | |
403 E 1st St, Dixon, IL 61021-3116 | |
(815) 285-5579 | |
(815) 285-5584 |
Full Name | Dr Rama Shankar |
---|---|
Gender | Female |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 403 E 1st St, Dixon, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114995651 | NPI | - | NPPES |
036095468 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 036-095468 (Illinois) | Primary |
Entity Name | Ksb Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073592119 PECOS PAC ID: 7911890009 Enrollment ID: O20040203000860 |
Entity Name | Illinois Pathologist Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720218415 PECOS PAC ID: 1456405760 Enrollment ID: O20090821000125 |
Mailing Address | Practice Location Address |
---|---|
Dr Rama Shankar, MD 700 W Virginia St, Ste 305, Milwaukee, WI 53204-1549 Ph: (414) 359-5740 | Dr Rama Shankar, MD 403 E 1st St, Dixon, IL 61021-3116 Ph: (815) 285-5579 |
Saad Blaney, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 403 E 1st St, Dixon, IL 61021 Phone: 815-285-5533 Fax: 815-285-5584 | |
Dr. Marta M Vanstraten, D.O. Pathology Medicare: Accepting Medicare Assignments Practice Location: 403 E. 1st Street, Katherine Shaw Bethea Hospital, Dixon, IL 61021 Phone: 815-285-5580 Fax: 815-285-5584 |