| Sandra Kabagambe, MD | |
|
611 W Park St, Urbana, IL 61801-2501 | |
| (217) 383-3100 | |
| Not Available |
| Full Name | Sandra Kabagambe |
|---|---|
| Gender | Female |
| Speciality | Surgery - Pediatric Surgery |
| Location | 611 W Park St, Urbana, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083977706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0120X | Surgery - Pediatric Surgery | 0101272864 (Virginia) | Secondary |
| 2086S0120X | Surgery - Pediatric Surgery | 036173369 (Illinois) | Primary |
| Entity Name | University Of Virginia Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033138250 PECOS PAC ID: 4880590728 Enrollment ID: O20040102000780 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Kabagambe, MD 611 W Park St, Fapc, Urbana, IL 61801-2500 Ph: () - | Sandra Kabagambe, MD 611 W Park St, Urbana, IL 61801-2501 Ph: (217) 383-3100 |
Mahmoud Elrakhawy, MD Surgery Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-904-7000 | |
Conlan Joseph Pierce, MD Surgery Medicare: Medicare Enrolled Practice Location: 601 W Park St, Urbana, IL 61801 Phone: 540-326-2910 | |
Brian Robert Beeman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Hvi, Urbana, IL 61801 Phone: 217-904-7000 Fax: 217-904-7748 | |
Yongsoo Kwon, Surgery Medicare: May Accept Medicare Assignments Practice Location: 1800 Glenwood Oaks Ct, Urbana, IL 61801 Phone: 217-337-5299 | |
Anant Singh Amar, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3311 | |
Beverly Eri Tomita, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3311 | |
Richard B Berlin, MD Surgery Medicare: Medicare Enrolled Practice Location: 602 W. University Avenue, General Surgery, Urbana, IL 61801 Phone: 217-383-3240 Fax: 217-383-4597 |