Pathanjali Saravanan, MD | |
4500 Memorial Dr, Belleville, IL 62226-5360 | |
(618) 257-6220 | |
(618) 257-6679 |
Full Name | Pathanjali Saravanan |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 33 Years |
Location | 4500 Memorial Dr, Belleville, 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 |
---|---|---|---|
1639284862 | NPI | - | NPPES |
394790 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036091243 (Illinois) | Secondary |
208M00000X | Hospitalist | 036091243 (Illinois) | Secondary |
207R00000X | Internal Medicine | 036091243 (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bjc Hospice | Alton, IL | Hospice |
Memorial Hospital | Belleville, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fairview Heights Medical Group Sc | 6800784083 | 346 |
Entity Name | Fairview Heights Medical Group Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20040309000650 |
Mailing Address | Practice Location Address |
---|---|
Pathanjali Saravanan, MD 4500 Memorial Dr, Belleville, IL 62226-5360 Ph: (618) 257-6220 | Pathanjali Saravanan, MD 4500 Memorial Dr, Belleville, IL 62226-5360 Ph: (618) 257-6220 |
Dr. Dennis P Larson, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 509 E Waters Edge Dr, Belleville, IL 62221 Phone: 618-235-1510 Fax: 618-235-1502 | |
Kathleen K Fournier, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4600 Memorial Dr, Suite 100, Belleville, IL 62226 Phone: 618-222-9999 Fax: 618-222-9337 | |
Eldon Trame, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2900 Frank Scott Pkwy W, Suite 904, Belleville, IL 62223 Phone: 618-234-0640 Fax: 314-851-4475 | |
Anand P. Patel, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220 | |
Eduardo Martinez-barrios, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 4600 Memorial Dr, Suite 120, Belleville, IL 62226 Phone: 618-233-2220 Fax: 618-233-2555 | |
Kashif Shahzad Bhutto, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4600 Memorial Dr Ste 200, Belleville, IL 62226 Phone: 618-233-2220 Fax: 618-233-2555 | |
Dr. David Nelson Pfohl, MD, FACP, GAQ Internal Medicine Medicare: Medicare Enrolled Practice Location: 45 Pebble Hill Dr, Belleville, IL 62223 Phone: 618-604-6518 |