| Rajeev Varma, MD | |
|
1505 Eastland Dr Ste 320, Bloomington, IL 61701-7912 | |
| (309) 661-2368 | |
| (309) 662-9709 |
| Full Name | Rajeev Varma |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 1505 Eastland Dr Ste 320, Bloomington, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073525770 | NPI | - | NPPES |
| VARMARAJ | Other | WI | MERCYCARE INSURANCE |
| P00457730/CK6882 | Other | IL | RAIL ROAD MEDICARE |
| 1073525770 | Medicaid | WI | |
| 4673170001 | Other | IL | DMERC |
| 036114249 2 | Medicaid | IL | |
| P00624444CG6042 | Other | IL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0200X | Internal Medicine - Critical Care Medicine | 36114249 (Illinois) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 036-114249 (Illinois) | Primary |
| 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: O20031111000307 |
| Entity Name | Physician Services Corporation Of Southern Illinois Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831101807 PECOS PAC ID: 9234022567 Enrollment ID: O20040304000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Rajeev Varma, MD 1505 Eastland Dr Ste 320, Bloomington, IL 61701-7912 Ph: (309) 661-2368 | Rajeev Varma, MD 1505 Eastland Dr Ste 320, Bloomington, IL 61701-7912 Ph: (309) 661-2368 |
Dr. Venkata Ranganadh Dodda, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Suite 320, Bloomington, IL 61701 Phone: 309-661-2368 | |
Mr. Kenneth Schoenig, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1228 Towanda Ave Ste 1, Bloomington, IL 61701 Phone: 309-454-5900 Fax: 309-454-2820 | |
Dr. Robert Edward Clark, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1228 Towanda Ave Ste 1, Bloomington, IL 61701 Phone: 309-454-5900 Fax: 309-454-2820 | |
Kenneth H. Inoue, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Bloomington, IL 61701 Phone: 309-661-2368 Fax: 309-662-9709 | |
Paul Pedersen, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3120 Fax: 309-663-5742 | |
Nasiruddin Khokhar, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1404 Eastland Dr Ste 103, Bloomington, IL 61701 Phone: 309-434-3151 |