| Srinivas Rajamahanty, MD | |
|
305 W Jackson St Ste 301, Carbondale, IL 62901-1474 | |
| (618) 351-9300 | |
| (618) 351-9307 |
| Full Name | Srinivas Rajamahanty |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 36 Years |
| Location | 305 W Jackson St Ste 301, Carbondale, 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 |
|---|---|---|---|
| 1124339403 | NPI | - | NPPES |
| 036127544 | Medicaid | IL | |
| 5915178 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 036127544 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
| Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
| St Joseph Memorial Hospital | Murphysboro, IL | Hospital |
| Marshall Browning Hospital | Du quoin, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Illinois Medical Services Nfp | 3678677390 | 299 |
| Entity Name | Southern Illinois Medical Services Nfp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
| Mailing Address | Practice Location Address |
|---|---|
| Srinivas Rajamahanty, MD Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Srinivas Rajamahanty, MD 305 W Jackson St Ste 301, Carbondale, IL 62901-1474 Ph: (618) 351-9300 |
Lara Hammond, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 303, Carbondale, IL 62901 Phone: 618-351-9300 | |
Dr. Hark Chang, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-549-5128 | |
Dr. Michael J. Hyman, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 303, Carbondale, IL 62901 Phone: 618-351-9300 | |
Dr. Sam Stokes Iii, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 301, Carbondale, IL 62901 Phone: 618-351-9300 Fax: 618-351-9307 |