Mohammad Rasmi Mataria (NPI# 1750590147, PAC ID# 2264503846) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
Nation Provider ID (NPI) | 1750590147 |
PAC ID by PECOS | 2264503846 |
Professional Enrollment ID | I20100708000453 |
Full Name | Mohammad Rasmi Mataria |
Organization Legal Name | KIDNEY AND HYPERTENSION ASSOCIATES LTD |
Address |
8058 S Western Ave Chicago IL 60620-5936 |
Phone Number | 7082514190 |
Gender | M |
Graduation Year | 2002 |
Primary Specialty | NEPHROLOGY |
Secondary Specialties | INTERNAL MEDICINE |
Group Practice PAC ID | 3577595545 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140208 | ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER |
140179 | LITTLE COMPANY OF MARY HOSPITAL |
140231 | EDWARD HOSPITAL |
Address | Phone | Organization |
---|---|---|
8058 S Western Ave, Chicago, IL 60620-5936 | 7082514190 | KIDNEY AND HYPERTENSION ASSOCIATES LTD |
Organization Legal Name | KIDNEY AND HYPERTENSION ASSOCIATES LTD |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mazen Diab | Internal Medicine | Kidney and Hypertension Associates Ltd | 8058 S Western Ave, Chicago, IL 60620-5936 |
Mohamad A Abdessamad | Nephrology | Kidney and Hypertension Associates Ltd | 3913 W 95th St, Evergreen Park, IL 60805-1903 |
Mohamad Barakat | Internal Medicine | Kidney and Hypertension Associates Ltd | 12935 S Gregory St, Blue Island, IL 60406-2428 |
Street Address |
8058 S WESTERN AVE |
City | CHICAGO |
State | IL |
Zip | 60620-5936 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mazen Diab | Internal Medicine | Kidney and Hypertension Associates Ltd | 8058 S Western Ave, Chicago, IL 60620-5936 |
Asem Werdi | Hospitalist | Southwest Physicians Associates Sc | 8058 S Western Ave, Chicago, IL 60620-5936 |
Roy Lacey | General Practice | Dr Roy Lacey Ltd | 8058 S Western Ave, Chicago, IL 60620-5936 |
Name | Specialty | Organization | Address |
---|---|---|---|
Wing Chi Lau | Physical Therapy | Athletico Ltd | 8301 S Holland Rd, Suite A, Chicago, IL 60620-1303 |
Jerome Antony | Internal Medicine | 327 W 76th St, Chicago, IL 60620-1604 | |
Jordan D Grumet | Internal Medicine | Wilkes Wellness Services Inc | 400 W 76th St, Suite 303, Chicago, IL 60620-1640 |
Talia Nelson | Nurse Practitioner | Wilkes Wellness Services Inc | 400 W 76th St, Suite 303, Chicago, IL 60620-1640 |
Prema David | Nurse Practitioner | Wilkes Wellness Services Inc | 400 W 76th St, Suite 303, Chicago, IL 60620-1640 |
Larry L Wilkes | Nurse Practitioner | Wilkes Wellness Services Inc | 400 W 76th St, Suite 303, Chicago, IL 60620-1640 |
Henry Y Lin | General Practice | Henry Y Lin Md Sc | 746 W 79th St, Chicago, IL 60620-2424 |
M Pannir Selvam | Family Medicine | 946 W 79th St, Chicago, IL 60620-2529 | |
Michael Obeng Appiagyei | Internal Medicine | 1243 W 79th St, Chicago, IL 60620-3709 | |
Hatem M Khatab | Physical Therapy | 1223 W 87th St, Chicago, IL 60620-4042 | |
Find all physicians in zip 60620 |
City | CHICAGO |
Zip Code | 60620 |
Specialty | NEPHROLOGY |
City + Specialty | CHICAGO + NEPHROLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.