Kidanu Birhanu, MD | |
24 Joliet St, Ste 302, Dyer, IN 46311-1705 | |
(219) 852-2518 | |
(219) 864-2156 |
Full Name | Kidanu Birhanu |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 45 Years |
Location | 24 Joliet St, Dyer, Indiana |
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 |
---|---|---|---|
1710073952 | NPI | - | NPPES |
036072060 | Medicaid | IL | |
01633358 | Other | IL | BCBS OF IL |
110248456 | Other | IL | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 01066132 (Indiana) | Primary |
207R00000X | Internal Medicine | 036072060 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Osf Little Company Of Mary Medical Center | Evergreen park, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Osf Multi-specialty Group | 3678889789 | 1552 |
Entity Name | Osf Multi-specialty Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
---|---|
Kidanu Birhanu, MD 24 Joliet St, Ste 302, Dyer, IN 46311-1705 Ph: (219) 852-2518 | Kidanu Birhanu, MD 24 Joliet St, Ste 302, Dyer, IN 46311-1705 Ph: (219) 852-2518 |
Dr. Sumanth Mulamalla, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15900 W 101st Ave, Dyer, IN 46311 Phone: 219-365-6333 Fax: 219-365-8291 | |
Eshwar Nagraj Murthy, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-865-2141 Fax: 219-933-2288 | |
Mohamad Kassar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Calumet Ave, Dyer, IN 46311 Phone: 219-924-8178 Fax: 219-924-8179 | |
Dr. Beder Pharaon, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-865-2141 Fax: 219-852-2502 | |
C Richard Smith, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2150 Gettler St Ste 400, Dyer, IN 46311 Phone: 219-865-0893 Fax: 219-865-3599 | |
Dr. Vladimir Selounski, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-865-2141 Fax: 219-852-2502 | |
Brandon Keith Nance, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-865-2141 Fax: 219-865-2141 |