Mr Ashraf Tamizuddin, MD | |
3401 Conifer Dr, Springfield, IL 62711-8300 | |
(217) 726-0967 | |
(217) 726-7633 |
Full Name | Mr Ashraf Tamizuddin |
---|---|
Gender | Male |
Speciality | Internal Medicine - Nephrology |
Location | 3401 Conifer Dr, Springfield, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255302626 | NPI | - | NPPES |
036-097061 | Medicaid | IL | |
0-488-054-8 | Other | ECFMG | |
076-869-899 | Other | RESIDENT VISA | |
336-057344 | Other | IL | IL CONTROLLED SUBSTANCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 036-097061 (Illinois) | Primary |
Entity Name | Central Illinois Kidney & Dialysis Associates, Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598788994 PECOS PAC ID: 7618045998 Enrollment ID: O20081014000680 |
Mailing Address | Practice Location Address |
---|---|
Mr Ashraf Tamizuddin, MD 3401 Conifer Dr, Springfield, IL 62711-8300 Ph: (217) 726-0967 | Mr Ashraf Tamizuddin, MD 3401 Conifer Dr, Springfield, IL 62711-8300 Ph: (217) 726-0967 |
Zachariah Gurnsey, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 751 N Rutledge St, Ste 1100, Springfield, IL 62702 Phone: 217-545-0182 Fax: 217-545-8156 | |
Fadel Ahmed Bofarrag, MD, MPH Nephrology Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St Ste D434, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-7063 | |
Winston J Townsend, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1836 S Macarthur Blvd, Springfield, IL 62704 Phone: 217-789-1403 Fax: 217-789-1825 | |
William R Yu, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2901 Old Jacksonville Rd, Springfield, IL 62704 Phone: 217-698-9722 Fax: 217-698-8012 | |
Dr. Susan M. O'neal, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-528-7541 | |
Dr. Mukul Bhattarai, MD. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 747 N Rutledge St Fl 4, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-7877 | |
Nathalie Emma-marie Foray, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 751 N Rutledge St Ste 1700, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-1229 |