| Faisal Bukhari Md Sc | |
|
2 W. Adams Sullivan IL 61951-1943 | |
| (217) 728-7353 | |
| (217) 728-2580 |
| Full Name | Faisal Bukhari Md Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2 W. Adams, Sullivan, Illinois |
| Authorized Official Name and Position | Faisal Bukhari (PHYSICIAN) |
| Authorized Official Contact | 2177287353 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faisal Bukhari Md Sc 2 W. Adams Sullivan IL 61951-1943 Ph: (217) 728-7353 | Faisal Bukhari Md Sc 2 W. Adams Sullivan IL 61951-1943 Ph: (217) 728-7353 |
| NPI Number | 1669776829 |
|---|---|
| Provider Enumeration Date | 01/03/2011 |
| Last Update Date | 04/16/2024 |
| Medicare PECOS PAC ID | 8426233214 |
|---|---|
| Medicare Enrollment ID | O20110420000503 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669776829 | NPI | - | NPPES |
| 036088652 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036088652 (Illinois) | Primary |
| Provider Name | Faisal Bukhari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376545509 PECOS PAC ID: 6507041399 Enrollment ID: I20110420000526 |
Decatur Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 W Jackson St, Sullivan, IL 61951 Phone: 217-728-2042 Fax: 217-728-2485 | |
Dearnbarger Family Practice S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 W Jefferson St, Sullivan, IL 61951 Phone: 217-621-6595 | |
Rural Health Clinic Of Moultrie County Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2 W Adams, Sullivan, IL 61951 Phone: 217-728-7353 Fax: 217-728-2580 | |
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