Rama R Medavaram (NPI# 1780780114, PAC ID# 9931241890) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1780780114 |
PAC ID by PECOS | 9931241890 |
Professional Enrollment ID | I20100115000370 |
Full Name | Rama R Medavaram |
Address |
1851 Sibley Boulevard Calumet City IL 60409-2252 |
Phone Number | 7088682300 |
Gender | M |
Graduation Year | 1977 |
Primary Specialty | FAMILY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140191 | INGALLS MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
1851 Sibley Boulevard, Calumet City, IL 60409-2252 | 7088682300 |
Street Address |
1851 SIBLEY BOULEVARD |
City | CALUMET CITY |
State | IL |
Zip | 60409-2252 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kionie T Abraham | Nurse Practitioner | Illiana Home Physician Services Inc | 2100 Sibley Blvd, Suite 104, Calumet City, IL 60409-2153 |
Naomi Lockett | Nurse Practitioner | Illiana Home Physician Services Inc | 2100 Sibley Blvd, Suite 104, Calumet City, IL 60409-2153 |
David N Gasbarro | Podiatry | 518 Burnham Ave, Calumet City, IL 60409-3401 | |
Nwanneka A Richardson | Pediatric Medicine | 510 Burnham Ave, Calumet City, IL 60409-3401 | |
Kiritkumar Trivedi | Internal Medicine | 656 Wentworth Ave, Calumet City, IL 60409-4221 | |
Cynthia A Goldman | Internal Medicine | 1600 167th St, Suite 700, Calumet City, IL 60409-5407 | |
Phillip T Nigro | Orthopedic Surgery | Primary Healthcare Associates Sc | 1600 167th St, Suite 900, Calumet City, IL 60409-5407 |
Srinivasu Kusuma | Orthopedic Surgery | Primary Healthcare Associates Sc | 1600 167th St, Suite 900, Calumet City, IL 60409-5407 |
George S Miz | Orthopedic Surgery | Primary Healthcare Associates Sc | 1600 167th St, Suite 900, Calumet City, IL 60409-5407 |
Sarah T Yang | Physical Medicine and Rehabilitation | Primary Healthcare Associates Sc | 1600 167th St, Suite 900, Calumet City, IL 60409-5407 |
Find all physicians in zip 60409 |
City | CALUMET CITY |
Zip Code | 60409 |
Specialty | FAMILY MEDICINE |
City + Specialty | CALUMET CITY + FAMILY MEDICINE |
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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.