| Divya Raghavan, MD | |
|
611 W Park St, Carle Forum, Ll, Urbana, IL 61801-2500 | |
| (217) 383-3110 | |
| Not Available |
| Full Name | Divya Raghavan |
|---|---|
| Gender | Female |
| Speciality | Nephrology |
| Experience | 14 Years |
| Location | 611 W Park St, Urbana, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972852333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 125061317 (Illinois) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 9423487-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Utah Hospitals And Clinics | Salt lake city, UT | Hospital |
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Dixie Regional Medical Center | St george, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Utah Adult Services | 0941525273 | 1593 |
| University Of Utah Adult Services | 0941525273 | 1593 |
| Entity Name | University Of Utah Adult Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
| Mailing Address | Practice Location Address |
|---|---|
| Divya Raghavan, MD 30n 1900 E 4r312, Salt Lake City, UT 84132-0006 Ph: (801) 581-8193 | Divya Raghavan, MD 611 W Park St, Carle Forum, Ll, Urbana, IL 61801-2500 Ph: (217) 383-3110 |
Joselyn Joseph, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Hospitalist, Urbana, IL 61801 Phone: 217-383-3129 Fax: 217-326-1550 | |
Dr. Uday Bhaskar Kanakadandi, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Hvi, Urbana, IL 61801 Phone: 217-383-3110 | |
Dr. Nelson Onyekachukwu Okobia, Nephrology Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-549-6585 | |
Robert W. Kirby, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 602 W University Ave, Urbana, IL 61801 Phone: 217-383-3311 | |
Chukwunonyelum Ekwempu, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3129 | |
Benjamin J Rhee, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Cardiology, Urbana, IL 61801 Phone: 217-904-7000 Fax: 217-904-7742 | |
Stephen A Dolan, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 602 W. University Avenue, Infectious Disease, Urbana, IL 61801 Phone: 217-383-1554 Fax: 217-383-1523 |