MEDICARE: KIRIT ANTANI MD

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	207RC0000X	Cardiovascular Disease Physician	36051133	IL

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

General Provider Information

NPI Number	:	1689679516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIRIT ANTANI MD

Provider Business Mailing Address
First Line	:	7100 COMMERCE WAY
Second Line	:	SUITE 180
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-2829
Country	:	US
Telephone Number	:	615-465-7000
Fax Number	:	615-309-3338

Provider Business Practice Location Address
First Line	:	3331 W DEYOUNG ST
Second Line	:
City	:	MARION
State	:	IL
Zip	:	62959-5896
Country	:	US
Telephone Number	:	618-998-1161
Fax Number	:

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	11/26/2007

Similar Medicare Providers

1912902198 — DR. ADIRAJU PALAGIRI MD
Practice Location Address:

3331 W DEYOUNG ST , STE 105
MARION, IL
62959-5896

Practice Phone: 618-997-8181
Practice Fax: 618-997-8499

1720087950 — MEMORIAL MANAGEMENT INC
Practice Location Address:

3331 W DEYOUNG ST , SUITE 105
MARION, IL
62959-5896

Practice Phone: 618-997-9496
Practice Fax:

1174517114 — DR. PARAG ARVIND MADHANI MD
Practice Location Address:

3331 W DEYOUNG ST , SUITE 100
MARION, IL
62959-5896

Practice Phone: 618-998-7600
Practice Fax: 618-997-6680

1568435055 — VIJAY AHER M.D.
Practice Location Address:

3331 W DEYOUNG ST , SUITE105
MARION, IL
62959-5896

Practice Phone: 618-997-9496
Practice Fax:

1548235948 — FRANK L BLEYER MD
Practice Location Address:

3331 W DEYOUNG ST , SUITE 100
MARION, IL
62959-5896

Practice Phone: 618-998-7600
Practice Fax: 618-997-6680

1902835226 — ROBERT L MILLER M.D.
Practice Location Address:

3331 W DEYOUNG ST , STE 109
MARION, IL
62959-5896

Practice Phone: 618-998-7239
Practice Fax: 618-998-7248

Directions to “ KIRIT ANTANI MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.