| Vijayalakshmi Mukkamalla, | |
|
2701 17th St, Rock Island, IL 61201-5351 | |
| (309) 779-3101 | |
| Not Available |
| Full Name | Vijayalakshmi Mukkamalla |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 19 Years |
| Location | 2701 17th St, Rock Island, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073883674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 125059042 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trinity - Rock Island | Rock island, IL | Hospital |
| Trinity Muscatine | Muscatine, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iowa Physicians Clinic Medical Foundation | 8729992318 | 1047 |
| Iowa Physicians Clinic Medical Foundation | 8729992318 | 1047 |
| Entity Name | Iowa Physicians Clinic Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366425274 PECOS PAC ID: 8729992318 Enrollment ID: O20031118000363 |
| Mailing Address | Practice Location Address |
|---|---|
| Vijayalakshmi Mukkamalla, 2701 17th Street, Rocki, IL 61201 Ph: (309) 779-3101 | Vijayalakshmi Mukkamalla, 2701 17th St, Rock Island, IL 61201-5351 Ph: (309) 779-3101 |
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 | |
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 |