| Dr Rajendra R Shroff, MD | |
|
1050 M L King Dr, Suite 101, Centralia, IL 62801-3060 | |
| (618) 532-5700 | |
| (618) 532-7390 |
| Full Name | Dr Rajendra R Shroff |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 47 Years |
| Location | 1050 M L King Dr, Centralia, Illinois |
| 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 |
|---|---|---|---|
| 1245259274 | NPI | - | NPPES |
| 0006100111 | Other | IL | BLUE CROSS |
| 110230961 | Other | IL | PALMETTO MEDICARE |
| 036065196 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036065196 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Regional Home Care - Crossroads | Mount vernon, IL | Home health agency |
| Ssm Health At Home Health-illinois | Mount vernon, IL | Home health agency |
| Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
| Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
| Salem Township Hospital | Salem, IL | Hospital |
| Odin Health And Rehab Center | Odin, IL | Nursing home |
| Centralia Manor | Centralia, IL | Nursing home |
| Fireside House Of Centralia | Centralia, IL | Nursing home |
| Entity Name | St Marys Hospital Centralia Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770687196 PECOS PAC ID: 6709788920 Enrollment ID: O20040127000118 |
| Entity Name | Physician Services Corporation Of Southern Illinois Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831101807 PECOS PAC ID: 9234022567 Enrollment ID: O20040304000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Rajendra R Shroff, MD 1050 M L King Dr, Suite 101, Centralia, IL 62801-3060 Ph: (618) 532-5700 | Dr Rajendra R Shroff, MD 1050 M L King Dr, Suite 101, Centralia, IL 62801-3060 Ph: (618) 532-5700 |
Maria Riaz, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1441 W Broadway, Centralia, IL 62801 Phone: 618-532-9050 | |
Mr. Aziz U Rahman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 M L King Dr, Suite 109, Centralia, IL 62801 Phone: 618-532-0998 Fax: 618-532-0304 | |
Dr. Paul S Edwards, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 Martin Luther King Drive, Suite 108, Centralia, IL 62801 Phone: 618-532-3517 Fax: 618-532-0801 | |
Dr. Stephen T Ang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1054 M L King Dr, Suite 120, Centralia, IL 62801 Phone: 618-532-1688 Fax: 618-532-1689 | |
Gibran Hamid Mahmud, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1052 M L King Dr, Suite 2, Centralia, IL 62801 Phone: 618-436-5410 Fax: 618-436-8063 | |
Dr. Suresh Krishnamoorthy, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1054 M L King Dr, Suite 126, Centralia, IL 62801 Phone: 618-533-5500 Fax: 618-533-5501 |