AMANULLAH K. PATHAN MD – NPI #1093749699
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

AMANULLAH PATHAN is a physician located in BELLEVILLE, IL. NPPES has assigned the NPI number 1093749699 to AMANULLAH PATHAN on July 10, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 16 years ago on Jun 22, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AMANULLAH PATHAN below.

NPI Profile for
AMANULLAH K. PATHAN

NPI Number
1093749699
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
AMANULLAH K. PATHAN
Credentials
MD
Primary location
4600 MEMORIAL DRIVE
MEDICAL CENTER 2 SUITE 420
BELLEVILLE, IL 62226-5366
Phone: (618) 239-3356 Fax: (618) 239-3359
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for AMANULLAH PATHAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNA2102754
OTHERBCBSIL08200472
OTHERBCBSMO100789
OTHERBCBSPA1495152
OTHERCIGNA0938287001
OTHERGHP CMR7661
OTHERHEALTHLINK101463
OTHERMERCY HEALTH PLAND14712
OTHERPHCS140491
OTHERPREFERRED CARE146897XX
OTHERRR MEDICARE060029745
OTHERRR MEDICARECA5095060029745
OTHERUHC2507179
MEDICAIDIL036060909
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
IL 036060909

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.