Kourosh Moazemi, MD | |
611 W Park St, Urbana, IL 61801-2529 | |
(217) 383-3129 | |
(217) 326-1550 |
Full Name | Kourosh Moazemi |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 30 Years |
Location | 611 W Park St, Urbana, 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 |
---|---|---|---|
1184774374 | NPI | - | NPPES |
A78865 | Other | CA | CA LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A78865 (California) | Secondary |
208M00000X | Hospitalist | 036105401 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sutter Delta Medical Center | Antioch, CA | Hospital |
John Muir Medical Center - Concord Campus | Concord, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pittsburg Antioch Medical Group A Professional Corporation | 3173535846 | 16 |
Entity Name | Pittsburg Antioch Medical Group A Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619922911 PECOS PAC ID: 3173535846 Enrollment ID: O20060620000202 |
Mailing Address | Practice Location Address |
---|---|
Kourosh Moazemi, MD 611 W Park St, Fapc, Urbana, IL 61801 Ph: () - | Kourosh Moazemi, MD 611 W Park St, Urbana, IL 61801-2529 Ph: (217) 383-3129 |
Crystal D Radnitzer, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park Street, Hospitalist Services, Urbana, IL 61801 Phone: 217-383-3129 Fax: 217-326-1550 | |
Dr. Renato Alcaraz Jr., MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park Street, Hospitalist Services, Urbana, IL 61801 Phone: 217-383-3129 Fax: 217-326-1550 | |
Jasmeet Singh, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3129 Fax: 217-326-1550 | |
Yagya Pandey, Hospitalist Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3311 | |
Neil Allen Blevins, ACNPC-AG Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3129 Fax: 217-326-1550 | |
Anand K Patel, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Hospital Medicine-family Medicine Certified, Urbana, IL 61801 Phone: 217-383-1554 Fax: 217-383-1523 | |
Maulik B Sheth, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Hospitalist, Urbana, IL 61801 Phone: 217-383-3129 Fax: 217-326-1550 |