| Dr Sujit Prasad Shrestha, MD | |
|
5666 E State St, Rockford, IL 61108-2425 | |
| (815) 226-2000 | |
| Not Available |
| Full Name | Dr Sujit Prasad Shrestha |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 35 Years |
| Location | 5666 E State St, Rockford, 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 |
|---|---|---|---|
| 1275686891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 036.100085 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mary Medical Center | Galesburg, IL | Hospital |
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Illinois Pathologist Services Llc | 1456405760 | 11 |
| Entity Name | Path Lab Diagnostic Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245267673 PECOS PAC ID: 4789690124 Enrollment ID: O20060222000780 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sujit Prasad Shrestha, MD Po Box 775925, Chicago, IL 60677-5925 Ph: (815) 226-2000 | Dr Sujit Prasad Shrestha, MD 5666 E State St, Rockford, IL 61108-2425 Ph: (815) 226-2000 |
Dr. Eva K Drinka, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1401 E State St, Rockford, IL 61104 Phone: 779-696-4267 | |
Dr. Korrin Kathryn Meier, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1401 E State St, Rockford, IL 61104 Phone: 779-696-4290 | |
Hiului Lau, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1400 Charles St, Rockford, IL 61104 Phone: 815-489-4267 Fax: 815-966-3967 | |
Roger Hilbert, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1400 Charles St, Rockford, IL 61104 Phone: 815-489-4267 Fax: 815-966-3967 | |
Tarek Jazaerly, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1401 E State St, Rockford, IL 61104 Phone: 779-696-4273 | |
Matthew H Twohig, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1401 E State St, Rockford, IL 61104 Phone: 815-971-5000 |