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1982606950

NPI Code Detail

MEDICARE: MOHAMMED O PERACHA MD

MEDICARE: MOHAMMED O PERACHA 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	207W00000X	Ophthalmology Physician	01059313A	IN
2	207W00000X	Ophthalmology Physician	45488	IA
3	207WX0107X	Retina Specialist (Ophthalmology) Physician	45488	IA
4	207W00000X	Ophthalmology Physician	036123530	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982606950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMMED O PERACHA MD

Provider Business Mailing Address
First Line	:	1700 E WEST RD
Second Line	:
City	:	CALUMET CITY
State	:	IL
Zip	:	60409-5415
Country	:	US
Telephone Number	:	708-891-3330
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 E WEST RD
Second Line	:
City	:	CALUMET CITY
State	:	IL
Zip	:	60409-5415
Country	:	US
Telephone Number	:	708-891-3330
Fax Number	:

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

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	01/29/2019

Similar Medicare Providers

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Practice Location Address:

1700 E WEST RD
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60409-5415

Practice Phone: 708-891-3330
Practice Fax: 708-891-0904

1265425284 — DR. SRIGURUNATH VANGIPURAM M.D.
Practice Location Address:

1700 E WEST RD
CALUMET CITY, IL
60409-5415

Practice Phone: 708-891-3330
Practice Fax: 708-891-0904

1174516199 — DR. BURTON ZEIGER M.D.
Practice Location Address:

1700 E WEST RD
CALUMET CITY, IL
60409-5415

Practice Phone: 708-891-3330
Practice Fax: 708-891-0904

1629061684 — DR. AFZAL AHMAD M.D.
Practice Location Address:

1700 E WEST RD
CALUMET CITY, IL
60409-5415

Practice Phone: 708-891-3330
Practice Fax: 708-891-0904

1790746428 — MIDWEST EYE CENTER
Practice Location Address:

1700 E WEST RD
CALUMET CITY, IL
60409-5415

Practice Phone: 708-891-3330
Practice Fax: 708-891-0904

1356413173 — DAVID E CAVENDER O.D.
Practice Location Address:

1700 E WEST RD
CALUMET CITY, IL
60409-5415

Practice Phone: 708-891-3330
Practice Fax: 708-891-0904

Directions to “ MOHAMMED O PERACHA 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.

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