| Suman Gopal, MD | |
|
101 E Miller Rd, Sterling, IL 61081-1252 | |
| (815) 625-4790 | |
| Not Available |
| Full Name | Suman Gopal |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 101 E Miller Rd, Sterling, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174612238 | NPI | - | NPPES |
| 110059307 | Other | RAILROAD MEDICARE | |
| 036067792 | Medicaid | IL | |
| 011549 | Other | IL | HEALTH ALLIANCE MEDICAL |
| 9815737 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036067792 (Illinois) | Primary |
| Entity Name | Cgh Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902854623 PECOS PAC ID: 6103723267 Enrollment ID: O20031217000054 |
| Mailing Address | Practice Location Address |
|---|---|
| Suman Gopal, MD 101 E Miller Rd, Sterling, IL 61081-1252 Ph: (815) 625-4790 | Suman Gopal, MD 101 E Miller Rd, Sterling, IL 61081-1252 Ph: (815) 625-4790 |
Hussein Zaioor, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Miller Rd, Sterling, IL 61081 Phone: 815-625-4790 Fax: 815-632-5803 | |
Kim Treviranus, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Miller Rd, Sterling, IL 61081 Phone: 815-625-4790 | |
Mir A Alikhan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Miller Rd, Sterling, IL 61081 Phone: 815-625-4790 | |
Rajan Gopal, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 E Miller Rd, Sterling, IL 61081 Phone: 815-625-4790 | |
Alhareth Alsayed, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Miller Rd, Sterling, IL 61081 Phone: 815-625-4790 | |
Ajay Kumar Varma Buddaraju, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Miller Rd, Sterling, IL 61081 Phone: 815-625-4790 |