| Misha Lee Taber Martinez, MD | |
|
3165 Myrtle Ave Ste 2, Granite City, IL 62040-5012 | |
| (618) 876-7500 | |
| (618) 876-0807 |
| Full Name | Misha Lee Taber Martinez |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 3165 Myrtle Ave Ste 2, Granite City, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528221082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036-129509 (Illinois) | Primary |
| 208000000X | Pediatrics | 2011012182 (Missouri) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Misha Lee Taber Martinez, MD 3165 Myrtle Ave Ste 2, Granite City, IL 62040-5012 Ph: (618) 876-7500 | Misha Lee Taber Martinez, MD 3165 Myrtle Ave Ste 2, Granite City, IL 62040-5012 Ph: (618) 876-7500 |
Mohammad Reza S Ashraf, Pediatrics Medicare: Medicare Enrolled Practice Location: 1420 20th St, Granite City, IL 62040 Phone: 618-877-8200 Fax: 618-877-8206 | |
Jarod Dwayne Skouby, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3165 Myrtle Ave, Suite 2, Granite City, IL 62040 Phone: 618-876-7500 | |
Shahnaz Ahmad, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3165 Myrtle Ave, Ste 2, Granite City, IL 62040 Phone: 618-876-7500 Fax: 618-876-0807 | |
Dr. Karthikeyan Vadakantharai Parameswaran, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2166 Madison Ave, Granite City, IL 62040 Phone: 618-219-3318 Fax: 618-452-3329 | |
Dr. Rachel N Han, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2166 Madison Ave, Granite City, IL 62040 Phone: 618-219-3318 Fax: 618-452-3329 | |
Jamil Rana, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3165 Myrtle Ave, Suite 2, Granite City, IL 62040 Phone: 618-876-7500 Fax: 618-876-0807 |