Imran M Puthawala, MD | |
2160 S 1st Ave, Maywood, IL 60153-3328 | |
(708) 216-9000 | |
Not Available |
Full Name | Imran M Puthawala |
---|---|
Gender | Male |
Speciality | Hematology/oncology |
Experience | 9 Years |
Location | 2160 S 1st Ave, Maywood, 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 |
---|---|---|---|
1952780637 | NPI | - | NPPES |
1952780637 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | MD61283210 (Washington) | Secondary |
207RH0003X | Internal Medicine - Hematology & Oncology | 036166507 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Loyola University Medical Center | Maywood, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Loyola University Medical Center | 3779488903 | 857 |
Entity Name | Loyola University Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
Mailing Address | Practice Location Address |
---|---|
Imran M Puthawala, MD Po Box 50095, Seattle, WA 98145-5095 Ph: (206) 520-5700 | Imran M Puthawala, MD 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-9000 |
Dr. Cathryn T Sawalski, DO, MBA Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888 | |
Maryam Sabir, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888 | |
Holly Kramer, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2160 S First Ave, 101-1740 Loyola University Medical Center, Maywood, IL 60153 Phone: 708-216-9000 Fax: 708-216-9033 | |
Dr. Stephanie Bochen Tsai, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Nicholas Poellinger, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888 | |
Marisa Luck, Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888 | |
Sofia Ahmed, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-8757 |