Keikhosrow Ghazanfari, MD | |
3004 N Ashland Ave, Chicago, IL 60657-3012 | |
(773) 871-4600 | |
(773) 871-2900 |
Full Name | Keikhosrow Ghazanfari |
---|---|
Gender | Male |
Speciality | Internal Medicine - Gastroenterology |
Location | 3004 N Ashland Ave, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831188747 | NPI | - | NPPES |
036047888 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 036047888 (Illinois) | Primary |
Entity Name | Gi Partners Of Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548613995 PECOS PAC ID: 2567758295 Enrollment ID: O20160907001020 |
Mailing Address | Practice Location Address |
---|---|
Keikhosrow Ghazanfari, MD 3004 N Ashland Ave, Chicago, IL 60657-3012 Ph: (773) 871-4600 | Keikhosrow Ghazanfari, MD 3004 N Ashland Ave, Chicago, IL 60657-3012 Ph: (773) 871-4600 |
Dr. Sorin C Danciu, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3134 N Clark St, Chicago, IL 60657 Phone: 773-880-9722 | |
Anoopa A. Koshy, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 259 E Erie St Ste 2200, Chicago, IL 60611 Phone: 312-926-6000 | |
William Edmond Gerardi, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 3730 N Lake Shore Dr, Apartment 2a, Chicago, IL 60613 Phone: 773-244-3060 | |
Suparna Dutta, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1700 W Van Buren St, Suite 500, Chicago, IL 60612 Phone: 312-942-4200 Fax: 312-942-3568 | |
Alexandra Dumitrescu, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 888-824-0200 | |
Dr. Mitesh Mahesh Kabadi, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St Ste 1159, Chicago, IL 60612 Phone: 312-942-5020 | |
Dr. Marta Batus, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St, Suite 809, Chicago, IL 60612 Phone: 312-563-2487 Fax: 312-942-3192 |