Dr Syed Ali Raza Gillani, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Columbia, Missouri. His current practice location is
1 Hospital Dr # Ce514, Columbia, Missouri. You can reach out to his office (for appointments etc.) via phone at
(347) 659-5430.
Dr Syed Ali Raza Gillani is licensed to practice in Missouri (license number 2023010810) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679033450.
Physician's Profile
| Full Name | Dr Syed Ali Raza Gillani |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 1 Hospital Dr # Ce514, Columbia, Missouri |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1679033450
- Provider Enumeration Date: 03/20/2019
- Last Update Date: 06/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 4789919390
- Enrollment ID: I20230801002638
Medical Identifiers
Medical identifiers for Dr Syed Ali Raza Gillani such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679033450 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 125073826 (Illinois) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 125.073826 (Illinois) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 2023010810 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Syed Ali Raza Gillani is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Syed Ali Raza Gillani, MD
6560 Fannin St Ste 802,
Houston, TX 77030-2726
Ph: (713) 363-9589 | Dr Syed Ali Raza Gillani, MD
1 Hospital Dr # Ce514,
Columbia, MO 65212-2726
Ph: (347) 659-5430 |
Reviews and Comments