Ranganathan T Ltd | |
555 Wilson Ln Chicago Behavioral Hospital Desplaines IL 60016-4729 | |
(248) 699-7850 | |
(248) 699-7851 |
Full Name | Ranganathan T Ltd |
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Speciality | Psychiatry & Neurology |
Location | 555 Wilson Ln, Desplaines, Illinois |
Authorized Official Name and Position | Thodur M Ranganathan (OWNER) |
Authorized Official Contact | 2486997850 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ranganathan T Ltd 13290 Fox Hill Dr Lemont IL 60439-8194 Ph: (248) 699-7850 | Ranganathan T Ltd 555 Wilson Ln Chicago Behavioral Hospital Desplaines IL 60016-4729 Ph: (248) 699-7850 |
NPI Number | 1396385415 |
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Provider Enumeration Date | 01/07/2020 |
Last Update Date | 01/07/2020 |
Certification Date | 01/07/2020 |
Medicare PECOS PAC ID | 4284060484 |
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Medicare Enrollment ID | O20200206002509 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396385415 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Zahidur Rahman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417975293 PECOS PAC ID: 9234031006 Enrollment ID: I20040122000593 |
Provider Name | Thodur M Ranganathan |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1841269727 PECOS PAC ID: 1456330703 Enrollment ID: I20040719001341 |
Provider Name | Naveed Muhammad |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396799029 PECOS PAC ID: 7618943028 Enrollment ID: I20040908000185 |
Provider Name | Rajesh T Iyengar |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821023714 PECOS PAC ID: 3274591821 Enrollment ID: I20041229000208 |
Provider Name | Sanjay Magan Patel |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1326240623 PECOS PAC ID: 2668573817 Enrollment ID: I20070718000623 |
Provider Name | Waseema Tajammul |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790128502 PECOS PAC ID: 1355624149 Enrollment ID: I20170201000544 |
Provider Name | Ejaz N Jafri |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225408289 PECOS PAC ID: 9830458041 Enrollment ID: I20180116001902 |
Provider Name | Raymond Bryant |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609354133 PECOS PAC ID: 7911246996 Enrollment ID: I20190308002759 |