Gibran Hamid Mahmud, MD | |
1052 M L King Dr, Suite 2, Centralia, IL 62801-3002 | |
(618) 436-5410 | |
(618) 436-8063 |
Full Name | Gibran Hamid Mahmud |
---|---|
Gender | Male |
Speciality | Hematology/oncology |
Experience | 16 Years |
Location | 1052 M L King Dr, Centralia, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518132489 | NPI | - | NPPES |
1518132489 | Medicaid | MO | |
1518132489 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2011020105 (Missouri) | Secondary |
207RH0003X | Internal Medicine - Hematology & Oncology | 2011020105 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fairfield Memorial Hospital 1 | Fairfield, IL | Hospital |
Salem Township Hospital | Salem, IL | Hospital |
Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
Hshs St Elizabeth's Hospital | O fallon, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cancer Care Specialists Of Central Illinois Sc | 5991619116 | 26 |
Entity Name | Cancer Care Specialists Of Central Illinois Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871580142 PECOS PAC ID: 5991619116 Enrollment ID: O20031113000022 |
Mailing Address | Practice Location Address |
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Gibran Hamid Mahmud, MD 1052 M L King Dr, Suite 2, Centralia, IL 62801-3002 Ph: (618) 436-5410 | Gibran Hamid Mahmud, MD 1052 M L King Dr, Suite 2, Centralia, IL 62801-3002 Ph: (618) 436-5410 |
Dr. Rajendra R Shroff, M.D. Hematology & Oncology 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 Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1441 W Broadway, Centralia, IL 62801 Phone: 618-532-9050 | |
Mr. Aziz U Rahman, MD Hematology & Oncology 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. Paul S Edwards, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 1050 Martin Luther King Drive, Suite 108, Centralia, IL 62801 Phone: 618-532-3517 Fax: 618-532-0801 | |
Dr. Stephen T Ang, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1054 M L King Dr, Suite 120, Centralia, IL 62801 Phone: 618-532-1688 Fax: 618-532-1689 | |
Dr. Suresh Krishnamoorthy, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1054 M L King Dr, Suite 126, Centralia, IL 62801 Phone: 618-533-5500 Fax: 618-533-5501 |