| Ehtesham J Ghani, MD | |
|
9223 Ogden Avenue, Brookfield, IL 60513 | |
| (708) 485-4050 | |
| (708) 485-9216 |
| Full Name | Ehtesham J Ghani |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 33 Years |
| Location | 9223 Ogden Avenue, Brookfield, 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 |
|---|---|---|---|
| 1316988397 | NPI | - | NPPES |
| 036092503 | Medicaid | IL | |
| 01623766 | Other | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036092503 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health Care At Home | La grange, IL | Home health agency |
| Adventist La Grange Memorial Hospital | La grange, IL | Hospital |
| Adventist Hinsdale Hospital | Hinsdale, IL | Hospital |
| Loyola University Medical Center | Maywood, IL | Hospital |
| Entity Name | Ehtesham J Ghani Md Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508076225 PECOS PAC ID: 9537125265 Enrollment ID: O20041206000006 |
| Entity Name | Gemini Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366294811 PECOS PAC ID: 4385187202 Enrollment ID: O20240620001864 |
| Mailing Address | Practice Location Address |
|---|---|
| Ehtesham J Ghani, MD 9223 Ogden Avenue, Brookfield, IL 60513 Ph: (708) 485-4050 | Ehtesham J Ghani, MD 9223 Ogden Avenue, Brookfield, IL 60513 Ph: (708) 485-4050 |
Dr. V R Kuchipudi, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3101 Maple Ave, Brookfield, IL 60513 Phone: 708-387-0121 Fax: 708-387-0129 | |
Dr. Syed A Sayeeduddin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8900 31st St Unit 6, Brookfield, IL 60513 Phone: 773-559-7723 | |
Dr. Sandesh Kuchipudi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3101 Maple Ave, Brookfield, IL 60513 Phone: 708-387-0121 Fax: 708-387-0129 |