Mr Aziz U Rahman, MD | |
1050 M L King Dr, Suite 109, Centralia, IL 62801-3060 | |
(618) 532-0998 | |
(618) 532-0304 |
Full Name | Mr Aziz U Rahman |
---|---|
Gender | Male |
Speciality | Pulmonary Disease |
Experience | 52 Years |
Location | 1050 M L King Dr, Centralia, 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 |
---|---|---|---|
1275540015 | NPI | - | NPPES |
036064167 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 036064167 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm Health At Home Health-illinois | Mount vernon, IL | Home health agency |
Regional Home Care - Crossroads | Mount vernon, IL | Home health agency |
Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
Barnes Jewish Hospital | Saint louis, MO | Hospital |
Fireside House Of Centralia | Centralia, IL | Nursing home |
Doctors Nursing & Rehab Center | Salem, IL | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Marys Hospital Centralia Illinois | 6709788920 | 39 |
Physician Services Corporation Of Southern Illinois Inc | 9234022567 | 100 |
Entity Name | St Marys Hospital Centralia Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770687196 PECOS PAC ID: 6709788920 Enrollment ID: O20040127000118 |
Entity Name | Physician Services Corporation Of Southern Illinois Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831101807 PECOS PAC ID: 9234022567 Enrollment ID: O20040304000583 |
Entity Name | Aziz Rahman Md Facp Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508160359 PECOS PAC ID: 5193985919 Enrollment ID: O20120402000013 |
Mailing Address | Practice Location Address |
---|---|
Mr Aziz U Rahman, MD Po Box 955860, Saint Louis, MO 63195-9126 Ph: (636) 498-5944 | Mr Aziz U Rahman, MD 1050 M L King Dr, Suite 109, Centralia, IL 62801-3060 Ph: (618) 532-0998 |
Dr. Rajendra R Shroff, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1050 M L King Dr, Suite 101, Centralia, IL 62801 Phone: 618-532-5700 Fax: 618-532-7390 | |
Maria Riaz, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1441 W Broadway, Centralia, IL 62801 Phone: 618-532-9050 | |
Dr. Paul S Edwards, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1050 Martin Luther King Drive, Suite 108, Centralia, IL 62801 Phone: 618-532-3517 Fax: 618-532-0801 | |
Dr. Stephen T Ang, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1054 M L King Dr, Suite 120, Centralia, IL 62801 Phone: 618-532-1688 Fax: 618-532-1689 | |
Gibran Hamid Mahmud, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1052 M L King Dr, Suite 2, Centralia, IL 62801 Phone: 618-436-5410 Fax: 618-436-8063 | |
Dr. Suresh Krishnamoorthy, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1054 M L King Dr, Suite 126, Centralia, IL 62801 Phone: 618-533-5500 Fax: 618-533-5501 |