Amanullah Khan Pathan, MD - Internal Medicine in Belleveille, IL

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Amanullah Khan Pathan, MD is a Internal Medicine - Cardiovascular Disease physician based in Belleveille, Illinois. Amanullah Khan Pathan is licensed to practice in Illinois (license number 036060909) and his current practice location is 4600 Memorial Drive, Medical Center 2 Suite 420, Belleveille, Illinois. He can be reached at his office (for appointments etc.) via phone at (618) 239-3356.

NPI number for Amanullah Khan Pathan is 1093749699 and his current mailing address is 4600 Memorial Drive, Medical Center 2 Suite 420, Belleveille, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093749699.

Contact Information

Amanullah Khan Pathan, MD
4600 Memorial Drive, Medical Center 2 Suite 420,
Belleveille, IL 62226-5366
(618) 239-3356
(618) 239-3359

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Physician's Profile

Full NameAmanullah Khan Pathan
GenderMale
SpecialityInternal Medicine - Cardiovascular Disease
Location4600 Memorial Drive, Belleveille, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093749699
  • Provider Enumeration Date: 07/10/2006
  • Last Update Date: 06/22/2010

Medical Identifiers

Medical identifiers for Amanullah Khan Pathan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093749699NPI-NPPES
146897XXOtherPREFERRED CARE
08200472OtherILBCBS
1495152OtherPABCBS
5095060029745OtherCARR MEDICARE
101463OtherHEALTHLINK
2102754OtherAETNA
036060909MedicaidIL
060029745OtherRR MEDICARE
0938287001OtherCIGNA
100789OtherMOBCBS
140491OtherPHCS
7661OtherGHP CMR
2507179OtherUHC
D14712OtherMERCY HEALTH PLAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 036060909 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanullah Khan Pathan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amanullah Khan Pathan, MD
4600 Memorial Drive, Medical Center 2 Suite 420,
Belleveille, IL 62226-5366

Ph: (618) 239-3356		Amanullah Khan Pathan, MD
4600 Memorial Drive, Medical Center 2 Suite 420,
Belleveille, IL 62226-5366

Ph: (618) 239-3356

Reviews and Comments


Internal Medicine Doctors in Belleveille, IL


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