| Amar Medical Associates, Pc | |
|
3165 Myrtle Ave Granite City IL 62040-5012 | |
| (618) 877-3066 | |
| (618) 877-3060 |
| Full Name | Amar Medical Associates, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3165 Myrtle Ave, Granite City, Illinois |
| Authorized Official Name and Position | Prasanna C Kumar (PRESIDENT) |
| Authorized Official Contact | 6188773066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amar Medical Associates, Pc 3165 Myrtle Ave Granite City IL 62040-5012 Ph: (618) 877-3066 | Amar Medical Associates, Pc 3165 Myrtle Ave Granite City IL 62040-5012 Ph: (618) 877-3066 |
| NPI Number | 1740369917 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 12/08/2008 |
| Medicare PECOS PAC ID | 6406744549 |
|---|---|
| Medicare Enrollment ID | O20040309001076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740369917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (Illinois) | Secondary |
| Provider Name | Prasanna C Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285639559 PECOS PAC ID: 2264320381 Enrollment ID: I20040309001165 |
| Provider Name | Kanubhai M Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649278185 PECOS PAC ID: 1658269790 Enrollment ID: I20050309000647 |
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