| Shanmuga Priyan Vasudevan, MD | |
|
1221 S Gear Ave, West Burlington, IA 52655-1679 | |
| (319) 768-1000 | |
| Not Available |
| Full Name | Shanmuga Priyan Vasudevan |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 18 Years |
| Location | 1221 S Gear Ave, West Burlington, Iowa |
| 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 |
|---|---|---|---|
| 1245670678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 125063503 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mt Sinai Hospital Medical Center | Chicago, IL | Hospital |
| Great River Medical Center | West burlington, IA | Hospital |
| Holy Cross Hospital | Chicago, IL | Hospital |
| University Of Iowa Hospital & Clinics | Iowa city, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Iowa Regional Medical Center Inc | 3870496417 | 252 |
| Mount Sinai Community Foundation | 5991600405 | 232 |
| Entity Name | Southeast Iowa Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164433884 PECOS PAC ID: 3870496417 Enrollment ID: O20040130000139 |
| Mailing Address | Practice Location Address |
|---|---|
| Shanmuga Priyan Vasudevan, MD 1221 S Gear Ave, West Burlington, IA 52655-1679 Ph: () - | Shanmuga Priyan Vasudevan, MD 1221 S Gear Ave, West Burlington, IA 52655-1679 Ph: (319) 768-1000 |
Dr. Mark L Woodard, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1223 S Gear Ave, Suite 109, West Burlington, IA 52655 Phone: 319-768-1820 | |
Zeina Hajar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1223 S Gear Ave, West Burlington, IA 52655 Phone: 319-768-1000 | |
Dr. Anthony L Lazar, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1223 S Gear Ave, Suite 109, West Burlington, IA 52655 Phone: 319-754-4004 Fax: 319-753-5498 | |
Dr. Viren Mawoj Kumar Raheja, MBBS Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1225 S Gear Ave, West Burlington, IA 52655 Phone: 319-768-3700 | |
Dr. Maroun E El-khoury, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1225 S Gear Ave, Suite 152, West Burlington, IA 52655 Phone: 319-753-1220 Fax: 319-753-5464 | |
Dr. Rhea Anne Hartley, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1706 W Agency Rd, West Burlington, IA 52655 Phone: 319-768-5858 Fax: 319-752-4653 |