PRAKASH VAISHNAV (NPI# 1770547309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770547309 |
Entity Type | Individual |
Full Name | PRAKASH VAISHNAV |
Credential | M.D. |
Practice Address |
10604 Southwest Highway Suite 107 Chicago Ridge IL 60415-2717 |
Practice Telephone | 7083718006 |
Practice Fax Number | 7083896630 |
Mailing Telephone | 7083718006 |
Mailing Fax Number | 7083896630 |
Enumeration Date | 2006-04-12 |
Last Update Date | 2018-06-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
036058269 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BLUE CROSS BLUE SHIELD | 01632457 | 01 |
IL | 036058269 | 05 | |
IL | RAILROAD MEDICARE | P00134276 | 01 |
Street Address |
10604 SOUTHWEST HIGHWAY SUITE 107 |
City | CHICAGO RIDGE |
State | IL |
Zip Code | 60415-2717 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225528979 | Thoracic Surgical Associates, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10604 Southwest Highway, Suite 101, Chicago Ridge, IL 60415 | 2018-05-17 |
1689163503 | Millenium Pharmacy Ltd | Pharmacy | 10604 Southwest Highway, Suite 102, Chicago Ridge, IL 60415 | 2018-05-07 |
1417245499 | Fadi Aldaas | Internal Medicine | 10604 Southwest Highway, Ste 107, Chicago Ridge, IL 60415-2717 | 2011-07-12 |
1659558666 | Essam Fathy Mekhaiel | Internal Medicine | 10604 Southwest Highway, Ste 107, Chicago Ridge, IL 60415-2717 | 2008-01-22 |
1649470196 | M. Eyad Karzoun | Internal Medicine | 10604 Southwest Highway, Ste 107, Chicago Ridge, IL 60415-2717 | 2007-07-23 |
1497956981 | Juanbosco Ayala | Internal Medicine | 10604 Southwest Highway, Ste 107, Chicago Ridge, IL 60415-2717 | 2007-05-30 |
1285845818 | Hamed R Mataria | Internal Medicine | 10604 Southwest Highway, Ste 107, Chicago Ridge, IL 60415-2717 | 2007-05-25 |
1396963559 | Moutaz Sunbuli | Internal Medicine | 10604 Southwest Highway, Ste 107, Chicago Ridge, IL 60415-2717 | 2007-04-23 |
1699834754 | Pulmonary Consultants, Sc | Internal Medicine | 10604 Southwest Highway, Chicago Ridge, IL 60415-2717 | 2006-12-06 |
1760540470 | Home Healthcare Renewal Services | Home Health | 10604 Southwest Highway, Suite 104, Chicago Ridge, IL 60415-2717 | 2006-12-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396233854 | All American Physical Therapy P.C. | Clinic/Center | 9830 Ridgeland Ave Ste 3a, Chicago Ridge, IL 60415 | 2018-04-30 |
1841711561 | Limitless Transportation of Illinois | Non-emergency Medical Transport (VAN) | 6726 107th St Unit 2c, Chicago Ridge, IL 60415 | 2017-07-03 |
1376927293 | Fariha Querishi | Dentist | 6501 W 95th Street, Chicago Ridge, IL 60415 | 2015-07-10 |
1780958603 | Delores Jean Jackson | Occupational Therapy Assistant | 10300 Southwest Highway, Chicago Ridge, IL 60415 | 2012-02-24 |
1376855395 | Aa1 Medicar Transpotation Inc | Non-emergency Medical Transport (VAN) | 10624 S Major St 2n, Chicago Ridge, IL 60415 | 2010-07-07 |
1952591448 | Orion Diagnostic & Chiropractic Center | Chiropractor | 9830 S. Ridgeland Ave, Suite # 5, Chicago Ridge, IL 60415 | 2007-07-31 |
1518006808 | Christopher John Green | Dentist | 6422 W 107th St, Chicago Ridge, IL 60415 | 2007-02-05 |
1376697383 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 320 Chicago Ridge Mall # C15, Chicago Ridge, IL 60415 | 2007-01-23 |
1144372194 | Ikechukwu Oguejiofor | Urology | 10400 S0uthwest Highway, Chicago Ridge, IL 60415 | 2007-01-18 |
1306909148 | Edward Philip Mann | Ophthalmology | 5850 W 111th St, Chicago Ridge, IL 60415 | 2006-12-19 |
Find all providers in zip 60415 |
Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
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 |
---|---|---|---|---|
1417245499 | Fadi Aldaas | Internal Medicine | 10604 Southwest Highway, Ste 107, Chicago Ridge, IL 60415-2717 | 2011-07-12 |
1659558666 | Essam Fathy Mekhaiel | Internal Medicine | 10604 Southwest Highway, Ste 107, Chicago Ridge, IL 60415-2717 | 2008-01-22 |
1396963559 | Moutaz Sunbuli | Internal Medicine | 10604 Southwest Highway, Ste 107, Chicago Ridge, IL 60415-2717 | 2007-04-23 |
1285646828 | Mohamed M Zakkar | Internal Medicine | 10604 Southwest Highway, Suite 107, Chicago Ridge, IL 60415-2717 | 2006-08-12 |
1902860083 | Muhammad Abdulgany Hamadeh | Internal Medicine | 10604 Southwest Highway, Suite 107, Chicago Ridge, IL 60415-2717 | 2006-04-14 |
1780648873 | Anas Nahhas | Internal Medicine | 10604 Southwest Highway, Suite 107, Chicago Ridge, IL 60415-2717 | 2006-04-14 |
1992769558 | Haleyur Arun | Internal Medicine | 10604 Southwest Highway, Ste 107, Chicago Ridge, IL 60415-2717 | 2006-04-12 |
1447214002 | Mohammed Z Sahloul | Internal Medicine | 10604 Southwest Highway, Ste 107, Chicago Ridge, IL 60415-2717 | 2006-04-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720636202 | Pulmonary Associates Ltd | Internal Medicine | 71 W 156th St Ste 203, Harvey, IL 60426-4262 | 2019-08-28 |
1336516467 | Hesham A. Hassaballa, Md, Ltd | Internal Medicine | 109 Symonds Dr Unit 684, Hinsdale, IL 60522-7304 | 2015-08-24 |
1497141394 | Pulmonary and Critical Care Solutions, LLC | Internal Medicine | 6116 N 2200 East Rd, Downs, IL 61736-9459 | 2015-04-08 |
1558771220 | Christopher Charles Sutton | Internal Medicine | 3 Saint Elizabeth Blvd, O Fallon, IL 62269-1281 | 2014-05-05 |
1861835985 | Christie Ann Brillante | Internal Medicine | 1801 W. Taylor, Suite 3c, Chicago, IL 60612-4795 | 2013-04-08 |
1992050850 | Thomas Christopher Draghi | Internal Medicine | 155 Linden Ave, Oak Park, IL 60302-2610 | 2012-07-17 |
1144586041 | Robert T Zeck | Internal Medicine | 13141 Lake Mary Dr, Plainfield, IL 60585-2650 | 2012-04-04 |
1508160359 | Aziz Rahman Md Facp PC | Internal Medicine | 1050 Martin Luther King Dr, Ste 109, Centralia, IL 62801 | 2011-01-07 |
1811211774 | Vitalcare Medical Sc | Internal Medicine | 1146 S Waukegan Rd, Waukegan, IL 60085-6731 | 2010-03-22 |
1508095605 | Farhan Zaidi | Internal Medicine | 444 N Northwest Hwy Ste 206, Park Ridge, IL 60068 | 2009-07-09 |
Find all providers with the same taxonomy |
City | CHICAGO RIDGE |
Zip Code | 60415 |
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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.