Sanjay Suryakant Pancholi, DO | |
2750 11th St, Rock Island, IL 61201-5216 | |
(563) 327-2100 | |
(563) 327-2102 |
Full Name | Sanjay Suryakant Pancholi |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 20 Years |
Location | 2750 11th St, Rock Island, 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 |
---|---|---|---|
1780894816 | NPI | - | NPPES |
036118253 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036118253 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Genesis Vna | Bettendorf, IA | Home health agency |
Unity Point At Home | Moline, IL | Home health agency |
Kindred At Home | Rock island, IL | Home health agency |
Genesis Hospice | Bettendorf, IA | Hospice |
Genesis Hlth System Dba Genesis Mdl Ctr-illini | Silvis, IL | Hospital |
Genesis Medical Center-davenport | Davenport, IA | Hospital |
Trinity - Rock Island | Rock island, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Genesis Health System | 7214841436 | 179 |
Entity Name | Genesis Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477654945 PECOS PAC ID: 7214841436 Enrollment ID: O20060908000380 |
Mailing Address | Practice Location Address |
---|---|
Sanjay Suryakant Pancholi, DO 500 W River Dr, Davenport, IA 52801-1014 Ph: (563) 336-3000 | Sanjay Suryakant Pancholi, DO 2750 11th St, Rock Island, IL 61201-5216 Ph: (563) 327-2100 |
Dr. Quang Tung Nguyen, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2701 17th St, Hospitalist Program, Rock Island, IL 61201 Phone: 309-779-3100 | |
Vijayalakshmi Mukkamalla, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-3101 | |
Mr. Muhammad Yasir Khan, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-3101 | |
Dr. Chukwuemeka Nzewi, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-3106 Fax: 309-779-3106 | |
Mr. M Hassan Diab, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2560 24th St, Suite 201, Rock Island, IL 61201 Phone: 309-779-7491 Fax: 309-779-3093 | |
Dr. Irfan Muniruddin Ankolkar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-5000 | |
Dr. Deepak Ahuja, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-2904 Fax: 309-779-2399 |