MEDICARE: VIJAY AHER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	35758	IA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
9	P00145519	OTHER	IA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	207988	OTHER	IL	MED GRP NUMBER
3	6132045	OTHER	IL	BCBS OF ILLINOIS
4	CE9335	OTHER	IL	RR GRP NUMBER
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	37216	OTHER	IA	BLUE CROSS BLUE SHIELD
7	512435	OTHER	IA	IOWA HEALTH SOLUTIONS
8	IA0140	OTHER	IA	JOHN DEERE HEALTH
10	P00440224	OTHER	IL	RR MED NUMBER

General Provider Information

NPI Number	:	1568435055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIJAY AHER M.D.

Provider Business Mailing Address
First Line	:	1618 S EUGENE LN
Second Line	:
City	:	MARION
State	:	IL
Zip	:	62959-1554
Country	:	US
Telephone Number	:	618-558-5956
Fax Number	:

Provider Business Practice Location Address
First Line	:	3331 W DEYOUNG ST
Second Line	:	SUITE105
City	:	MARION
State	:	IL
Zip	:	62959-5896
Country	:	US
Telephone Number	:	618-997-9496
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2006
Last Update Date	:	01/04/2013

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Directions to “ VIJAY AHER M.D.” Practice Location

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