Shahrokh N Kayhan, MD | |
20201 Crawford Ave, Suite 1276, Olympia Fields, IL 60461-1010 | |
(555) 555-5555 | |
(555) 555-5554 |
Full Name | Shahrokh N Kayhan |
---|---|
Gender | Male |
Speciality | Urology |
Location | 20201 Crawford Ave, Olympia Fields, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124086012 | NPI | - | NPPES |
036053401 | Medicaid | IL | |
4673170001 | Other | IL | DMERC GROUP |
P00006288/CK6882 | Other | IL | MEDICARE RAILROAD |
P00006289/CK6883 | Other | IL | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 036053401 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Shahrokh N Kayhan, MD 1040 Sierra Dr, Suite 400, Greenwood, IN 46143-7240 Ph: (555) 555-5555 | Shahrokh N Kayhan, MD 20201 Crawford Ave, Suite 1276, Olympia Fields, IL 60461-1010 Ph: (555) 555-5555 |
Dr. Anthony M Grimaldi, DO Urology Medicare: Medicare Enrolled Practice Location: 20201 Crawford Ave, Suite 1276, Olympia Fields, IL 60461 Phone: 708-679-2270 Fax: 708-679-2272 | |
Melissa Mae Kilianek, Urology Medicare: Not Enrolled in Medicare Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-855-7021 |