Syed Fahad Imam, MD | |
765 N Kellogg St Ste 203, Galesburg, IL 61401-2859 | |
(309) 676-8123 | |
(309) 676-8455 |
Full Name | Syed Fahad Imam |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 19 Years |
Location | 765 N Kellogg St Ste 203, Galesburg, 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 |
---|---|---|---|
1235455619 | NPI | - | NPPES |
036142852 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 036-142852 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fmc - Galesburg | Galesburg, IL | Dialysis facility |
Fmc - Macomb | Macomb, IL | Dialysis facility |
St Mary Medical Center | Galesburg, IL | Hospital |
Mc Donough District Hospital | Macomb, IL | Hospital |
Osf Holy Family Medical Center | Monmouth, IL | Hospital |
Osf Saint Lukes Medical Center | Kewanee, IL | Hospital |
Graham Hospital Association | Canton, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Renalcare Associates, S.c. | 7012818347 | 43 |
Entity Name | Sarah Bush Lincoln Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478 |
Entity Name | Renalcare Associates, S.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649300377 PECOS PAC ID: 7012818347 Enrollment ID: O20040119000524 |
Entity Name | Osf Multi-specialty Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
---|---|
Syed Fahad Imam, MD 420 Ne Glen Oak Ave Ste 401, Peoria, IL 61603-3112 Ph: (309) 676-8123 | Syed Fahad Imam, MD 765 N Kellogg St Ste 203, Galesburg, IL 61401-2859 Ph: (309) 676-8123 |
Dr. Parthasarathy Srinivasan, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 765 N Kellogg St Ste 203, Galesburg, IL 61401 Phone: 309-676-8123 Fax: 309-676-8455 | |
Carl E Strauch, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 834 N Seminary St, 303, Galesburg, IL 61401 Phone: 309-342-9189 | |
Madan L Gupta, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 3315 N Seminary St, Galesburg, IL 61401 Phone: 309-344-1000 Fax: 309-344-1054 | |
Mark A Meeker, D. O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3315 N Seminary St, Galesburg, IL 61401 Phone: 309-344-1000 Fax: 309-344-1054 | |
Dr. Afshin A Khaiser, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3315 N Seminary St, Galesburg, IL 61401 Phone: 309-344-1000 Fax: 309-344-2405 | |
James H King, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 3315 N Seminary St, Galesburg, IL 61401 Phone: 309-344-1000 Fax: 309-344-1054 |