Shariq M Ibrahim, MD | |
8317 Calumet Ave, Munster, IN 46321-1737 | |
(219) 513-2333 | |
(219) 513-2333 |
Full Name | Shariq M Ibrahim |
---|---|
Gender | Male |
Speciality | Interventional Pain Management |
Experience | 23 Years |
Location | 8317 Calumet Ave, Munster, Indiana |
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 |
---|---|---|---|
1245336486 | NPI | - | NPPES |
000000494372 | Other | IN | ANTHEM BCBS |
000000573813 | Other | IN | ANTHEM BC/BS OF INDIANA |
200859300 | Medicaid | IN | |
7163911 | Other | IN | AETNA |
Facility Name | Location | Facility Type |
---|---|---|
Community Hospital | Munster, IN | Hospital |
St Catherine Hospital Inc | East chicago, IN | Hospital |
St Mary Medical Center Inc | Hobart, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Care Network Inc | 3678737012 | 346 |
Entity Name | Community Care Network Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457610487 PECOS PAC ID: 3678737012 Enrollment ID: O20120614000331 |
Mailing Address | Practice Location Address |
---|---|
Shariq M Ibrahim, MD 8317 Calumet Ave, Munster, IN 46321-1737 Ph: (219) 513-2333 | Shariq M Ibrahim, MD 8317 Calumet Ave, Munster, IN 46321-1737 Ph: (219) 513-2333 |
Miss Kathryn Lillian Trojan, FNP-BC Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 8840 Calumet Ave, Suite 103, Munster, IN 46321 Phone: 219-836-7246 Fax: 219-836-6454 | |
Shanu Kondamuri, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 8840 Calumet Ave, Suite 103, Munster, IN 46321 Phone: 219-836-7246 Fax: 219-836-6454 | |
Satish Dasari, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 8840 Calumet Ave, Suite 103, Munster, IN 46321 Phone: 219-836-7246 Fax: 219-836-6454 | |
Ravi Kanakamedala, M.D. Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 8840 Calumet Ave, Suite 103, Munster, IN 46321 Phone: 219-836-7246 Fax: 219-836-6454 |