| Gibran Hamid Mahmud, MD | |
|
1052 M L King Dr, Suite 2, Centralia, IL 62801-3002 | |
| (618) 436-5410 | |
| (618) 436-8063 |
| Full Name | Gibran Hamid Mahmud |
|---|---|
| Gender | Male |
| Speciality | Hematology/oncology |
| Experience | 17 Years |
| Location | 1052 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 |
|---|---|---|---|
| 1518132489 | NPI | - | NPPES |
| 1518132489 | Medicaid | MO | |
| 1518132489 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2011020105 (Missouri) | Secondary |
| 207RH0003X | Internal Medicine - Hematology & Oncology | 2011020105 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tip Hospice | Shiloh, IL | Hospice |
| Fairfield Memorial Hospital 1 | Fairfield, IL | Hospital |
| Salem Township Hospital | Salem, IL | Hospital |
| Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
| Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
| Hshs St Elizabeth's Hospital | O fallon, IL | Hospital |
| Oakview Nursing & Rehab | Mount carmel, IL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cancer Care Specialists Of Central Illinois Sc | 5991619116 | 31 |
| Entity Name | Cancer Care Specialists Of Central Illinois Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871580142 PECOS PAC ID: 5991619116 Enrollment ID: O20031113000022 |
| Mailing Address | Practice Location Address |
|---|---|
| Gibran Hamid Mahmud, MD 1052 M L King Dr, Suite 2, Centralia, IL 62801-3002 Ph: (618) 436-5410 | Gibran Hamid Mahmud, MD 1052 M L King Dr, Suite 2, Centralia, IL 62801-3002 Ph: (618) 436-5410 |
Dr. Rajendra R Shroff, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1050 M L King Dr, Suite 101, Centralia, IL 62801 Phone: 618-532-5700 Fax: 618-532-7390 | |
Maria Riaz, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1441 W Broadway, Centralia, IL 62801 Phone: 618-532-9050 | |
Mr. Aziz U Rahman, MD Hematology & Oncology 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 Hematology & Oncology 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 Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1054 M L King Dr, Suite 120, Centralia, IL 62801 Phone: 618-532-1688 Fax: 618-532-1689 | |
Dr. Suresh Krishnamoorthy, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1054 M L King Dr, Suite 126, Centralia, IL 62801 Phone: 618-533-5500 Fax: 618-533-5501 |