DR. PANKAJ G VASHI (NPI# 1336136258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336136258 |
| Entity Type | Individual |
| Full Name | DR. PANKAJ G VASHI |
| Credential | M.D. |
| Practice Address |
2361 Paysphere Cir Chicago IL 60674 |
| Mailing Address |
2520 Elisha Ave Zion IL 60099 |
| Practice Telephone | 8477464358 |
| Practice Fax Number | 8472635459 |
| Mailing Telephone | 8478724561 |
| Mailing Fax Number | 8472635459 |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2017-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
036.083762 | IL | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
036-083762 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 04901168 | 01 |
| IL | 036083762 | 05 |
| Street Address |
2361 PAYSPHERE CIR |
| City | CHICAGO |
| State | IL |
| Zip Code | 60674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043205107 | Yiping Fu | Internal Medicine | 2361 Paysphere Cir, Chicago, IL 60674 | 2005-09-14 |
| 1114417615 | Nicole Beltran | Nurse Practitioner | 2361 Paysphere Cir, Chicago, IL 60674 | 2018-05-10 |
| 1598207375 | Shency Varughese | Registered Nurse | 2361 Paysphere Cir, Chicago, IL 60674 | 2016-11-10 |
| 1861850331 | Katrina Sue Barger | Physician Assistant | 2361 Paysphere Cir, Chicago, IL 60674 | 2016-01-29 |
| 1285076794 | Lynn Misch | Nurse Practitioner | 2361 Paysphere Cir, Chicago, IL 60674-0023 | 2013-07-25 |
| 1013255975 | Ruth M Diamond | Nurse Practitioner | 2361 Paysphere Cir, Chicago, IL 60674 | 2013-01-27 |
| 1649590878 | Mehul Arvind Patel | Physician Assistant | 2361 Paysphere Cir, Chicago, IL 60674 | 2010-06-10 |
| 1265668750 | Solomon R Katta | Family Medicine | 2361 Paysphere Cir, Chicago, IL 60674 | 2009-06-10 |
| 1639314834 | Madhavi Nagilla | Internal Medicine | 2361 Paysphere Cir, Chicago, IL 60674 | 2008-12-03 |
| 1699943720 | Miral Sapan Amin | Surgery | 2361 Paysphere Cir, Chicago, IL 60674 | 2008-02-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497744106 | Herbert H Beck IIi | Specialist | 2361 Paysphere Circle, Chicago, IL 60674 | 2005-10-14 |
| 1649559212 | Shelly Vijay | Internal Medicine | 2361 Paysphere Circle, Chicago, IL 60674 | 2011-08-12 |
| 1790006393 | Syed Zahid Aziz Khalid | Emergency Medicine | 2361 Paysphere Circle, Chicago, IL 60674 | 2010-06-17 |
| 1306818109 | Istvan Redei | Specialist | 2361 Paysphere Circle, Chicago, IL 60674 | 2006-02-06 |
| 1700865656 | Peter T. Senatore | Specialist | 2361 Paysphere Circle, Chicago, IL 60674 | 2006-01-10 |
| 1588643449 | Pakorn Sirijintakarn | Radiology | 2361 Paysphere Circle, Chicago, IL 60674 | 2006-01-10 |
| 1922085372 | S. Charles Charles Lindsay | Specialist | 2361 Paysphere Circle, Chicago, IL 60674 | 2005-12-28 |
| 1356328728 | Alfonso V Mellijor | Specialist | 2361 Paysphere Circle, Chicago, IL 60674 | 2005-12-28 |
| 1245217611 | Rakhshanda Neelam | Specialist | 2361 Paysphere Circle, Chicago, IL 60674 | 2005-12-28 |
| 1164409447 | Elham Abboud | Pathology | 2361 Paysphere Circle, Chicago, IL 60674 | 2005-12-28 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104303296 | Amanda Israel | Internal Medicine | 5841 S Maryland Ave # 4076m410, Chicago, IL 60637-1443 | 2018-07-23 |
| 1447765888 | David Henoch Barch | Internal Medicine | 3431 N Leavitt St, Chicago, IL 60618-6013 | 2017-12-07 |
| 1205218658 | Ye Eun Kwak | Internal Medicine | 5841 S Maryland Ave Rm J-517, Chicago, IL 60637 | 2015-06-22 |
| 1154749042 | Joshua Michael Steinberg | Internal Medicine | 5841 S Maryland Ave # 4076, Chicago, IL 60637-1443 | 2014-03-28 |
| 1447599311 | Seymour Marshall Sabesin | Internal Medicine | 630 S Hermitage Ave, Suite 802, Chicago, IL 60612-3874 | 2013-02-12 |
| 1265796429 | Jonathan Mark Erlich | Internal Medicine | 7447 W Talcott Ave Ste 209, Chicago, IL 60631-3713 | 2012-07-02 |
| 1255628921 | Michael O Blackstone | Internal Medicine | 4103 N Harding Ave, Chicago, IL 60618-1913 | 2011-07-01 |
| 1346533213 | Amanda Guentner | Internal Medicine | 259 E Erie St Ste 2250, Chicago, IL 60611-3264 | 2011-05-25 |
| 1962795450 | Christine Chan | Internal Medicine | 429 W Melrose St, Apt. 2e, Chicago, IL 60657-3878 | 2011-05-17 |
| 1295039865 | Cemal Yazici | Internal Medicine | 840 S Wood Street Suite 718e, Chicago, IL 60612 | 2010-12-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.