Gibran Hamid Mahmud (NPI# 1518132489, PAC ID# 6901077593) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1518132489 |
| PAC ID by PECOS | 6901077593 |
| Professional Enrollment ID | I20150526002561 |
| Full Name | Gibran Hamid Mahmud |
| Organization Legal Name | CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. |
| Address |
1050 M L King Dr Suite 2 Centralia IL 62801-3060 |
| Phone Number | 6185450133 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Group Practice PAC ID | 5991619116 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 141311 | FAIRFIELD MEMORIAL HOSPITAL 1 |
| 140034 | SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA |
| 141345 | SALEM TOWNSHIP HOSPITAL |
| 140046 | SSM HEALTH - GOOD SAMARITAN HOSPITAL |
| 141324 | FERRELL HOSPITAL COMMUNITY FOUNDATIONS |
| Address | Phone | Organization |
|---|---|---|
| 1050 M L King Dr, Suite 2, Centralia, IL 62801-3060 | 6185450133 | CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. |
| 400 N Pleasant Ave, Centralia, IL 62801-3056 | 6184368000 | ST MARYS HOSPITAL CENTRALIA ILLINOIS |
| Organization Legal Name | CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Nicole Born | Nurse Practitioner | Cancer Care Specialists of Central Illinois, S.c. | 905 Medical Park Dr, Effingham, IL 62401-2190 |
| Nicole S Soper | Nurse Practitioner | Cancer Care Specialists of Central Illinois, S.c. | 210 W Mckinley Ave, Suite 2, Decatur, IL 62526-5858 |
| Sebastien Simon Kairouz | Medical Oncology | Cancer Care Specialists of Central Illinois, S.c. | 1990 E Lakeshore Dr, Decatur, IL 62521-3811 |
| Thomas Howard Tarter | Urology | Cancer Care Specialists of Central Illinois, S.c. | 210 W Mckinley Ave, Suite 1, Decatur, IL 62526-5858 |
| Benjamin T Esparaz | Hematology/oncology | Cancer Care Specialists of Central Illinois, S.c. | 210 W Mckinley Ave, Suite 1, Decatur, IL 62526-5858 |
| Mark Andrew Walshauser | Hematology/oncology | Cancer Care Specialists of Central Illinois, S.c. | 210 W Mckinley Ave, Suite 2, Decatur, IL 62526-5858 |
| Mario R Velasco Jr. | Hematology/oncology | Cancer Care Specialists of Central Illinois, S.c. | 210 W Mckinley Ave, Suite 2, Decatur, IL 62526-5858 |
| Kristi Marie Toennies | Nurse Practitioner | Cancer Care Specialists of Central Illinois, S.c. | 1050 M L King Dr, Suite 2, Centralia, IL 62801-3060 |
| Casey Ellis Duncan | Radiation Oncology | Cancer Care Specialists of Central Illinois, S.c. | 1000 Health Ctr Dr, Mattoon, IL 61938-9253 |
| Harold Abraham Yoon | Radiation Oncology | Cancer Care Specialists of Central Illinois, S.c. | 905 Medical Park Dr, Effingham, IL 62401-2190 |
| Street Address |
1050 M L KING DR SUITE 2 |
| City | CENTRALIA |
| State | IL |
| Zip | 62801-3060 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rajendra R Shroff | Internal Medicine | 1050 M L King Dr, Suite 101, Centralia, IL 62801-3060 | |
| Kristi Marie Toennies | Nurse Practitioner | Cancer Care Specialists of Central Illinois, S.c. | 1050 M L King Dr, Suite 2, Centralia, IL 62801-3060 |
| Niranjan Shrestha | Family Medicine | 1050 M L King Dr, Suite 111, Centralia, IL 62801-3060 | |
| Naeem A Khan | Cardiovascular Disease (cardiology) | 1050 M L King Dr, Suite 108, Centralia, IL 62801-3060 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa A West | Psychiatry | Community Resource Center Inc | 904 E Martin Luther King Dr, Centralia, IL 62801 |
| Bernard E Rerri | Orthopedic Surgery | 938 Ml King Dr, Centralia, IL 62801 | |
| Balavittal Varanasi | Family Medicine | 936 Martin Luther King Dr, Centralia, IL 62801 | |
| Corrinne Kleiboeker | Clinical Social Worker | Community Resource Center Inc | 904 E Martin Luther King Dr, Centralia, IL 62801 |
| Kurt S Williams | Chiropractic | Berger Chiropractic Office LLC | 315 N Elm St, Centralia, IL 62801-2954 |
| Joshua J Berger | Chiropractic | Berger Chiropractic Office LLC | 315 N Elm St, Centralia, IL 62801-2954 |
| Tammy L Pike | Clinical Nurse Specialist | Physician Services Corporation of Southern Illinois Inc | 1054 M L King Dr, Suite 105, Centralia, IL 62801-3000 |
| Ronald D Lyons | Clinical Social Worker | 1065 M L King Dr, Centralia, IL 62801-3001 | |
| Cheryl Rushing | Physical Therapy | Orthopaedic Center of Southern Illinois, Ltd | 1007 Ml King Dr, Suite 3, Centralia, IL 62801-3001 |
| Mark A Murfin Jr. | General Surgery | 1063 Martin Luther King Dr, Centralia, IL 62801-3001 | |
| Find all physicians in zip 62801 | |||
| City | CENTRALIA |
| Zip Code | 62801 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | CENTRALIA + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Gibran Hamid Mahmud.
| 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.