| Mostafa Ghanim, MD | |
|
1703 Polaris Cir Ste 1, Ottawa, IL 61350-1772 | |
| (815) 705-1000 | |
| Not Available |
| Full Name | Mostafa Ghanim |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 1703 Polaris Cir Ste 1, Ottawa, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598118895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 268508 (Massachusetts) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | MD-46362 (Iowa) | Primary |
| Entity Name | Morris Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649370057 PECOS PAC ID: 1850372459 Enrollment ID: O20040528000663 |
| Mailing Address | Practice Location Address |
|---|---|
| Mostafa Ghanim, MD 1000 4th St Sw, Mason City, IA 50401-2800 Ph: (641) 428-7000 | Mostafa Ghanim, MD 1703 Polaris Cir Ste 1, Ottawa, IL 61350-1772 Ph: (815) 705-1000 |
Dr. Raul V Guerrero, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1614 E Norris Dr, Ottawa, IL 61350 Phone: 815-433-1010 Fax: 815-433-0067 | |
Dr. Raihan Aziz Sayeed, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1100 E Norris Dr, Ottawa, IL 61350 Phone: 815-431-5454 | |
Dr. David Gerard Thompson, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1050 E Norris Dr, Ste 2c, Ottawa, IL 61350 Phone: 815-434-0276 Fax: 815-434-0319 | |
Dr. Amit Brij Jamnadas, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1050 E Norris Dr Ste 2c, Ottawa, IL 61350 Phone: 309-676-8123 Fax: 309-676-8455 | |
Dr. Neil Pandya, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1100 E Norris Dr, Ottawa, IL 61350 Phone: 815-431-5454 | |
Robert B Maguire, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1614 E Norris Dr, Ottawa, IL 61350 Phone: 815-433-1010 Fax: 815-433-0067 | |
Syed M Ala, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1100 E Norris Dr, Ottawa, IL 61350 Phone: 815-433-3100 Fax: 815-431-5672 |