Dr. Vimal Master Sankar Raj
MD | Pediatric Nephrology | Male
Dr. Vimal Master Sankar Raj, MD is a Peoria, Illinois based Pediatric doctor with medical specialization in
Pediatric Nephrology.
Current practice location of Dr. Vimal Master Sankar Raj is
530 Ne Glen Oak Ave, Peoria, Illinois - 61637-3105. He can be contacted on phone at
309-624-8884.
Dr. Vimal Master Sankar Raj is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Vimal Master Sankar Raj is
1336339597 which was assigned by NPPES on 25 Jul, 2007 and it was last updated on 27 Apr, 2016.
Dr. Vimal Master Sankar Raj license number is
036133119 for Pediatrics Pediatric Nephrology (2080P0210X) in Illinois.
Dr. Vimal Master Sankar Raj deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Complete Profile:
Dr. Vimal Master Sankar Raj basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Nephrology |
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| Provider Name : | Dr. Vimal Master Sankar Raj |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Vimal Master Sankar Raj address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 530 Ne Glen Oak Ave
Peoria, IL, 61637-3105
United States |
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| Phone Number : | 309-624-8884 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1336339597 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 25 Jul, 2007 |
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| Last Updated On : | 27 Apr, 2016 |
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Medicare Participation:
Dr. Vimal Master Sankar Raj participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 9335381391 |
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| Medicare Enrollment ID : | I20130805000495 |
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| Primary Specialty : | Nephrology |
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| Medical School : | Other |
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| Graduation Year : | 2004 |
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| Accepts Medicare? | Yes. Dr. Vimal Master Sankar Raj accepts medicare insurance. |
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Group Practice Association:
Dr. Vimal Master Sankar Raj is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Vimal Master Sankar Raj is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| The Board Of Trustees Of The University Of Illinois | 3072422716 | 891 | 507 E Armstrong Ave
Peoria, IL - 616033201
Ph: 3096816960 | Yes |
| The Board Of Trustees Of The University Of Illinois | 3072422716 | 891 | 1 Illini Dr
Peoria, IL - 616052576 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Vimal Master Sankar Raj are as mentioned. Primary taxonomy code for Dr. Vimal Master Sankar Raj, MD is
2080P0210X (Pediatrics Pediatric Nephrology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0210X | Pediatrics Pediatric Nephrology | Yes | 036133119 | IL |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 530 Ne Glen Oak Ave
Peoria, IL, 61637-0001
United States |
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| Phone Number : | 309-624-8884 |
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Business Location:
Patients can refer following map for directions to
Dr. Vimal Master Sankar Raj practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.