DR. AVANTHI RAGAM (NPI# 1932355013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932355013 |
| Entity Type | Individual |
| Full Name | DR. AVANTHI RAGAM |
| Credential | M.D. |
| Practice Address |
351 Delnor Dr Suite 410 Geneva IL 60134-4220 |
| Practice Telephone | 6302320610 |
| Practice Fax Number | 6302320675 |
| Mailing Telephone | 6302320610 |
| Mailing Fax Number | 6302320675 |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2017-07-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 036112502 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
036112502 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE RAILROAD PTAN (GROUP) | CA4748 | 01 |
| IL | 036112502 | 05 | |
| IL | MEDICARE RAILROAD PTAN (INDIVIDUAL) | P01093156 | 01 |
| IL | MEDICARE PTAN (INDIVIDUAL) | 206147088 | 01 |
| IL | MEDICARE PTAN (GROUP) | 206147 | 01 |
| Street Address |
351 DELNOR DR SUITE 410 |
| City | GENEVA |
| State | IL |
| Zip Code | 60134-4220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619972643 | Paul R Batty | Surgery | 351 Delnor Dr, Ste 406, Geneva, IL 60134-4222 | 2005-06-16 |
| 1376931550 | Elise Noelle Lynch | Nurse Practitioner | 351 Delnor Dr, Suite 100, Geneva, IL 60134-4222 | 2014-12-22 |
| 1780012344 | Central Dupage Physician Group | Orthopaedic Surgery | 351 Delnor Dr, Geneva, IL 60134-4222 | 2013-10-17 |
| 1437586583 | Holley R Harris | Nurse Practitioner | 351 Delnor Dr, Geneva, IL 60134-4220 | 2013-10-03 |
| 1770924847 | Cornerstone Medical Group PC | Family Medicine | 351 Delnor Dr, Geneva, IL 60134-4222 | 2013-07-17 |
| 1437492451 | Wei He | Psychiatry & Neurology | 351 Delnor Dr, Geneva, IL 60134 | 2013-03-27 |
| 1508126897 | Yoomi Kenyon Brendel | Nurse Practitioner | 351 Delnor Dr, Geneva, IL 60134-4220 | 2012-05-21 |
| 1588942775 | Magdeline S Riemenschneider | Physician Assistant | 351 Delnor Dr, Suite 406, Geneva, IL 60134-4222 | 2011-07-22 |
| 1871808998 | Mona S Seaver | Nurse Practitioner | 351 Delnor Dr, Geneva, IL 60134-4220 | 2010-08-12 |
| 1609187590 | Jaclyn Beth Wierzbicki | Surgery | 351 Delnor Dr, Geneva, IL 60134-4220 | 2010-06-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403918 | Glenda Creighton | Physical Therapist | 0n 801 Friendship Way, Geneva, IL 60134 | 2020-10-02 |
| 1467912212 | Cierra Monae French | Family Medicine | Northwestern Medicine Delnor Hospital, 300 Randall Road, Geneva, IL 60134 | 2019-03-20 |
| 1497246227 | Linda Huber | Psychologist | 1541 E Fabyan Pkwy Ste 101, Geneva, IL 60134 | 2018-05-29 |
| 1003305459 | Nicole Collins | Specialist/Technologist | 1125 Lewis Road, Geneva, IL 60134 | 2018-05-01 |
| 1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
| 1982142980 | Samantha Courtney | Counselor | 1120 Randall Ct., Geneva, IL 60134 | 2017-02-09 |
| 1073055026 | Physical Rehabilitation Clinics | Physical Therapist | 507 S. 3rd St. Unit I, Geneva, IL 60134 | 2016-11-08 |
| 1265868707 | Gina Marie Gilchrist | Dietitian, Registered | 39w479 W Haladay Ln, Geneva, IL 60134 | 2013-09-16 |
| 1770823585 | William A. Goodfellow | General Practice | 1010 S. Batavia Ave., Geneva, IL 60134 | 2013-02-15 |
| 1467705392 | Kylie L Mack | Physician Assistant | 351 Delnor Dr #100, Geneva, IL 60134 | 2012-10-16 |
| Find all providers in zip 60134 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295814788 | Lagrange Oncology Associates | Internal Medicine | 302 Randall Rd Ste 20, Geneva, IL 60134-4209 | 2006-11-03 |
| 1558568410 | Perry J. Menini | Internal Medicine | 351 Delnor Dr, Suite 410, Geneva, IL 60134-4220 | 2007-07-02 |
| 1669527818 | Robert A Bayer | Internal Medicine | 351 Delnor Dr, Geneva, IL 60134-4220 | 2007-01-25 |
| 1235143835 | Christopher Michael George | Internal Medicine | 351 Delnor Dr, Geneva, IL 60134-4220 | 2006-07-28 |
| 1255300877 | Jonathan Rubins | Internal Medicine | 675 W Washington St, Interlakes Oncology & Hematology PC, Geneva, NY 14456 | 2006-03-16 |
| 1831183342 | Rodney B. Nelson IIi | Internal Medicine | 304 Randall Rd, Geneva, IL 60134-4200 | 2005-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649831124 | Elena Vagia | Internal Medicine | 233 E Superior St Ste 1-061, Chicago, IL 60611-2913 | 2019-06-25 |
| 1194206367 | Illinois Cancer Specialists | Internal Medicine | 360 Station Dr Ste 201, Crystal Lake, IL 60014-7978 | 2018-08-27 |
| 1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
| 1730634700 | Liyun Huang | Internal Medicine | 17495 South La Grange Rd, Tinley Park, IL 60487 | 2016-08-19 |
| 1578017596 | Mercy Clinic Specialists Services-illinois LLC | Internal Medicine | 2227 Vadalabene Dr Ste 200, Maryville, IL 62062-5824 | 2016-08-08 |
| 1356793319 | Glenda Maria Delgado Ramos | Internal Medicine | 2160 S 1st Ave Ste 167, Maywood, IL 60153-3328 | 2016-07-01 |
| 1023403516 | Meghan Rebecca Steiner | Internal Medicine | 5841 S Maryland Ave # Mc-2115, Chicago, IL 60637 | 2015-04-01 |
| 1700270154 | Joseph Heng | Internal Medicine | 5841 S Maryland Ave # Mc1152, Chicago, IL 60637-1443 | 2015-03-24 |
| 1497148118 | Pinal Chokshi | Internal Medicine | 525 E Congress Pkwy Ste 300, Crystal Lake, IL 60014-6258 | 2015-03-05 |
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
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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.