Saadur Rahman (NPI# 1710115977, PAC ID# 7911121157) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1710115977 |
| PAC ID by PECOS | 7911121157 |
| Professional Enrollment ID | I20140610001063 |
| Full Name | Saadur Rahman |
| Organization Legal Name | KIDNEY CARE CENTER BLOOMINGTON LLC |
| Address |
719 Main St Suite B Peoria IL 61602-1084 |
| Phone Number | 3098398364 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 3274844121 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010090 | PROVIDENCE HOSPITAL |
| 010113 | MOBILE INFIRMARY MEDICAL CENTER |
| 010120 | MONROE COUNTY HOSPITAL |
| 010091 | GROVE HILL MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 124 S University Blvd A, Mobile, AL 36608-3078 | 2513435004 | NEPHROLOGY ASSOCIATES OF MOBILE, P.A. |
| 719 Main St, Suite B, Peoria, IL 61602-1084 | 3098398364 | KIDNEY CARE CENTER BLOOMINGTON LLC |
| Organization Legal Name | KIDNEY CARE CENTER BLOOMINGTON LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohammad Umair Zafar | Nephrology | Kidney Care Center Bloomington LLC | 719 Main St, Suite B, Peoria, IL 61602-1084 |
| Street Address |
719 MAIN ST SUITE B |
| City | PEORIA |
| State | IL |
| Zip | 61602-1084 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanne Egan | Physical Therapy | 719 Main St, Osterville, MA 02655-1903 | |
| Mohammad Umair Zafar | Nephrology | Kidney Care Center Bloomington LLC | 719 Main St, Suite B, Peoria, IL 61602-1084 |
| Ricardo Bernardino | Internal Medicine | 719 Main St, Delano, CA 93215-2935 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James N Kenny Jr. | Urology | 900 Main St, 530b, Peoria, IL 61602-1005 | |
| Terry Meriden | Endocrinology | 900 Main St, Suite 300, Peoria, IL 61602-1049 | |
| Karen M Kyle | Psychiatry | Associates In Mental Health Sc | 900 Main St, Suite 580, Peoria, IL 61602-1065 |
| Andrew Wang | Psychiatry | Associates In Mental Health Sc | 900 Main St, Suite 580, Peoria, IL 61602-1065 |
| Christopher P Holly | Clinical Social Worker | Associates In Mental Health Sc | 900 Main St, Suite 580, Peoria, IL 61602-1065 |
| Matthew M Preston | Psychiatry | Associates In Mental Health Sc | 900 Main St, Suite 580, Peoria, IL 61602-1065 |
| Frandy S Raso | Clinical Social Worker | Associates In Mental Health Sc | 900 Main St, Suite 580, Peoria, IL 61602-1065 |
| Baljit Singh | Psychiatry | Associates In Mental Health Sc | 900 Main St, Suite 580, Peoria, IL 61602-1065 |
| Edna Y Ng | Clinical Social Worker | Associates In Mental Health Sc | 900 Main St, Suite 580, Peoria, IL 61602-1065 |
| Bradford E Colen | Psychiatry | Associates In Mental Health Sc | 900 Main St, Suite 580, Peoria, IL 61602-1065 |
| Find all physicians in zip 61602 | |||
| City | PEORIA |
| Zip Code | 61602 |
| Specialty | NEPHROLOGY |
| City + Specialty | PEORIA + NEPHROLOGY |
Please comment or provide details below to improve the information on Saadur Rahman.
| 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.