| Ehteshamul Haque Anjum, MD | |
|
903 Mineral Point Ave, Janesville, WI 53548-2970 | |
| (608) 741-3814 | |
| (608) 741-3816 |
| Full Name | Ehteshamul Haque Anjum |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 30 Years |
| Location | 903 Mineral Point Ave, Janesville, Wisconsin |
| 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 |
|---|---|---|---|
| 1932229390 | NPI | - | NPPES |
| 278131000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | ME97863 (Florida) | Primary |
| 207RN0300X | Internal Medicine - Nephrology | 60106-20 (Wisconsin) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Health System Corp | Janesville, WI | Hospital |
| Mercy Walworth Hospital & Medical Center | Lake geneva, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health System Corporation | 7416860440 | 564 |
| Entity Name | Gundersen Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031106000139 |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
| Mailing Address | Practice Location Address |
|---|---|
| Ehteshamul Haque Anjum, MD 903 Mineral Point Ave, Janesville, WI 53548-2970 Ph: (608) 741-3814 | Ehteshamul Haque Anjum, MD 903 Mineral Point Ave, Janesville, WI 53548-2970 Ph: (608) 741-3814 |
Imdad Ahmed, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6868 Fax: 608-756-6289 | |
Jacob A Thomas, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6741 Fax: 608-756-6376 | |
Hassan Homida, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6868 | |
David R. Isaacson, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6261 Fax: 068-756-6236 | |
Dr. Fahim Haider Jafary, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6868 | |
Kauseruzzaman A. Khan, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3524 E Milwaukee St, Janesville, WI 53546 Phone: 608-756-7100 Fax: 608-741-4700 | |
William N Brandt, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 3200 E Racine St, Janesville, WI 53546 Phone: 608-371-8000 Fax: 608-371-8277 |