| Sanjay Suryakant Pancholi, DO | |
|
2750 11th St, Rock Island, IL 61201-5216 | |
| (563) 327-2100 | |
| (563) 327-2102 |
| Full Name | Sanjay Suryakant Pancholi |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 22 Years |
| Location | 2750 11th St, Rock Island, 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 |
|---|---|---|---|
| 1780894816 | NPI | - | NPPES |
| 036118253 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036118253 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Genesis Vna | Bettendorf, IA | Home health agency |
| Kindred At Home | Rock island, IL | Home health agency |
| Genesis Hospice | Bettendorf, IA | Hospice |
| Genesis Hlth System Dba Genesis Mdl Ctr-illini | Silvis, IL | Hospital |
| Genesis Medical Center-davenport | Davenport, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Genesis Health System | 7214841436 | 187 |
| Entity Name | Genesis Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477654945 PECOS PAC ID: 7214841436 Enrollment ID: O20060908000380 |
| Mailing Address | Practice Location Address |
|---|---|
| Sanjay Suryakant Pancholi, DO 500 W River Dr, Davenport, IA 52801-1014 Ph: (563) 336-3000 | Sanjay Suryakant Pancholi, DO 2750 11th St, Rock Island, IL 61201-5216 Ph: (563) 327-2100 |
Dr. Quang Tung Nguyen, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2701 17th St, Hospitalist Program, Rock Island, IL 61201 Phone: 309-779-3100 | |
Vijayalakshmi Mukkamalla, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-3101 | |
Mr. Muhammad Yasir Khan, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-3101 | |
Dr. Chukwuemeka Nzewi, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-3106 Fax: 309-779-3106 | |
Mr. M Hassan Diab, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2560 24th St, Suite 201, Rock Island, IL 61201 Phone: 309-779-7491 Fax: 309-779-3093 | |
Dr. Irfan Muniruddin Ankolkar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-5000 | |
Dr. Deepak Ahuja, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-2904 Fax: 309-779-2399 |