Selvasaravanakumar Navaneethakrishnanpoovana, MD | |
530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | |
(309) 655-2000 | |
Not Available |
Full Name | Selvasaravanakumar Navaneethakrishnanpoovana |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 24 Years |
Location | 530 Ne Glen Oak Ave, Peoria, 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 |
---|---|---|---|
1841409935 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 125-050-110 (Illinois) | Primary |
208000000X | Pediatrics | 125-050-110 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Pullman Regional Hospital | Pullman, WA | Hospital |
Bristol Bay Area Health Corporation | Dillingham, AK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Public Hospital District 1-a Of Whitman County | 8325934987 | 49 |
Bristol Bay Area Health Corporation | 5890699920 | 59 |
Entity Name | Public Hospital District #1-a Of Whitman County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366446767 PECOS PAC ID: 8325934987 Enrollment ID: O20040223000506 |
Mailing Address | Practice Location Address |
---|---|
Selvasaravanakumar Navaneethakrishnanpoovana, MD 1502,west Covington Ct, Apt#5, Peoria, IL 61614-5838 Ph: () - | Selvasaravanakumar Navaneethakrishnanpoovana, MD 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: (309) 655-2000 |
Thomas James Mcmorrow, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2553 Fax: 309-655-2602 | |
Jessica Ford-davis, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2274 | |
Kelsey Elizabeth Grimes, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000 | |
Jessica N Mistretta, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000 | |
Mrs. Valeria Claudia Benavides Lopez, M.D., M.P.H. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-3313 | |
Khalid Al Katranji, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-7171 | |
Dr. Gretchen L Kopec, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-0615 |