| Dr Eliyazar Gaddam, MD | |
|
951 Commerce Pkwy, Suite 100, Lima, OH 45804-4040 | |
| (419) 224-5915 | |
| (419) 224-5918 |
| Full Name | Dr Eliyazar Gaddam |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 39 Years |
| Location | 951 Commerce Pkwy, Lima, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073561858 | NPI | - | NPPES |
| 1073561858 | Medicaid | WI | |
| 036083544 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 35.127156 (Ohio) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 036083544 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jackson Park Hospital | Chicago, IL | Hospital |
| Norwegian-american Hospital | Chicago, IL | Hospital |
| St Bernard Hospital | Chicago, IL | Hospital |
| Loretto Hospital | Chicago, IL | Hospital |
| Entity Name | Rockford Health Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
| Entity Name | Friedell Clinic, S. C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306854021 PECOS PAC ID: 2567366164 Enrollment ID: O20031125000405 |
| Entity Name | Foundation For Outreach Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316350242 PECOS PAC ID: 3375507163 Enrollment ID: O20041111001020 |
| Entity Name | Touhy Diagnostic At Home, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518042548 PECOS PAC ID: 0446223689 Enrollment ID: O20050329000096 |
| Entity Name | Metro Physicians & Specialists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699723403 PECOS PAC ID: 2365535465 Enrollment ID: O20070906000083 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eliyazar Gaddam, MD 951 Commerce Pkwy, Suite 101, Lima, OH 45804-4040 Ph: (419) 998-4575 | Dr Eliyazar Gaddam, MD 951 Commerce Pkwy, Suite 100, Lima, OH 45804-4040 Ph: (419) 224-5915 |
Nadia Ghallab, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-226-4310 Fax: 419-226-4315 | |
Deena M Hassuna, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 825 W Market St Ste 260, Lima, OH 45805 Phone: 199-964-0034 Fax: 419-996-5276 | |
Andrea Margarita Aquino Saludes, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 770 W High St Ste 210, Lima, OH 45801 Phone: 419-996-5053 Fax: 419-996-2688 | |
Mr. Tariq I Sheikh, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2793 Shawnee Rd, Lima, OH 45806 Phone: 419-227-8209 Fax: 419-222-6007 | |
Nathaniel Eric Quinn, MD, MPH, CPH Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-226-9301 | |
Pratap Balusu, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 750 W High St, Ste 250, Lima, OH 45801 Phone: 419-227-7399 Fax: 419-229-0123 |