| Mrs Sanjukta Mitra, MD | |
|
633 Ridgeview Drive, Mchenry, IL 60050-7012 | |
| (815) 344-0621 | |
| (815) 344-0664 |
| Full Name | Mrs Sanjukta Mitra |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 633 Ridgeview Drive, Mchenry, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255407805 | NPI | - | NPPES |
| 05600261 | Other | IL | BLUE CROSS BLUE SHIELD |
| P00082299 | Other | IL | RAILROAD MEDICARE |
| 0360625841 | Medicaid | IL | |
| 0584515 | Other | IL | AETNA |
| 0110312 | Other | IL | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036062584 (Illinois) | Primary |
| Entity Name | Prodyot K Mitra |
|---|---|
| Entity Type | Practitioner - General Surgery |
| Entity Identifiers | NPI Number: 1699841247 PECOS PAC ID: 2163439639 Enrollment ID: I20060309000016 |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Sanjukta Mitra, MD 633 Ridgeview Drive, Mchenry, IL 60050-7012 Ph: (815) 344-0621 | Mrs Sanjukta Mitra, MD 633 Ridgeview Drive, Mchenry, IL 60050-7012 Ph: (815) 344-0621 |
Pakhadi H Buddhadev, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr Dept Of, Mchenry, IL 60050 Phone: 815-759-4323 Fax: 815-759-4948 | |
Dr. Prashant Sura, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4309 W Medical Center Dr Ste A102, Mchenry, IL 60050 Phone: 815-338-6600 | |
Dr. Cory Edward Mellon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-759-4323 Fax: 815-759-4948 | |
Parmod Narang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4318 W Crystal Lake Rd, Ste J Drs Narang And Associates Ltd, Mchenry, IL 60050 Phone: 815-344-1500 Fax: 815-344-3685 | |
Dr. Shaji Mariyam Baig, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4309 W Medical Center Dr Ste A102, Mchenry, IL 60050 Phone: 815-759-4323 | |
Vishal Garimella, M.B.B.S. Internal Medicine Medicare: Medicare Enrolled Practice Location: 4201 Medical Center Drive, Mchenry, IL 60050 Phone: 815-344-5000 | |
Sneha Kumar, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-344-5000 |