| Dr Disha Mahendra, MD | |
|
2160 S 1st Ave, Fahey Bldg Room 007, Maywood, IL 60153-3328 | |
| (708) 216-5118 | |
| Not Available |
| Full Name | Dr Disha Mahendra |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Location | 2160 S 1st Ave, Maywood, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457662942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 01081389A (Indiana) | Primary |
| 207R00000X | Internal Medicine | 2010019223 (Missouri) | Secondary |
| 207R00000X | Internal Medicine | 036132932 (Illinois) | Secondary |
| Entity Name | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Disha Mahendra, MD 8993 Parkside Ln, Saint John, IN 46373-8748 Ph: (630) 664-9286 | Dr Disha Mahendra, MD 2160 S 1st Ave, Fahey Bldg Room 007, Maywood, IL 60153-3328 Ph: (708) 216-5118 |
Farzan Husain, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-783-2226 | |
Dr. Agith Antony, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Syeda Fatima, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Sagar Dommaraju, MD Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Osamah Abdallah, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-6497 | |
Deval Patel, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 |