AMANULLAH KHAN PATHAN MD
NPI 1093749699
Internal Medicine - Cardiovascular Disease in Belleveille, IL

Active since July 10, 2006
4600 MEMORIAL DRIVE, MEDICAL CENTER 2 SUITE 420, BELLEVEILLE, IL 62226(618) 239-3356(618) 239-3359 Get Directions Write a Review

NPPES record last updated: June 22, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanullah Khan Pathan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANULLAH KHAN PATHAN MD (NPI 1093749699) is an individual cardiovascular disease provider in Belleveille, Illinois, licensed in Illinois (036060909) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1093749699
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameAMANULLAH KHAN PATHANCredential: MD
Location Address4600 MEMORIAL DRIVE, MEDICAL CENTER 2 SUITE 420Belleveille, IL 62226-5366
Mailing Address4600 Memorial Drive, Medical Center 2 Suite 420Belleveille, IL 62226-5366 · (618) 239-3356 · Fax (618) 239-3359
Fax(618) 239-3359
Sole ProprietorNo
Enumeration DateJuly 10, 2006
Last NPPES UpdateJune 22, 2010
NPI 1093749699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in IL · 036060909
Definition
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.
4600 MEMORIAL DRIVE, Belleveille, IL 62226

Other Identifiers 17

Other060029745Rr Medicare
Other140491Phcs
OtherD14712Mercy Health Plan
Other100789MO · Bcbs
Other2102754Aetna
Medicare PIN676430
Other5095060029745CA · Rr Medicare
Other101463Healthlink
Other2507179Uhc
Medicare UPIND14712
Medicaid036060909IL
Other7661Ghp Cmr
Other146897XXPreferred Care
Other08200472IL · Bcbs
Other0938287001Cigna
Other1495152PA · Bcbs
Medicare PINP05754

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
4600 MEMORIAL DRIVE, STE. 220
BELLEVILLE, IL 62226
Internal Medicine (Cardiovascular Disease)
4600 MEMORIAL DRIVE, SUITE W-1
BELLEVILLE, IL 62226
Internal Medicine
4600 MEMORIAL DRIVE, SUITE 310
BELLEVILLE, IL 62226
Internal Medicine (Gastroenterology)
4600 MEMORIAL DRIVE, SUITE 340
BELLEVILLE, IL 62226
Specialist
4600 MEMORIAL DRIVE, SUITE 200
BELLEVILLE, IL 62226
Obstetrics & Gynecology
4600 MEMORIAL DRIVE, STE. 400
BELLEVILLE, IL 62226
Internal Medicine (Cardiovascular Disease)
4600 MEMORIAL DRIVE, STE. W-1
BELLEVILLE, IL 62226

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanullah Pathan's NPI number?

The NPI number for Amanullah Pathan is 1093749699. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Amanullah Pathan located?

Amanullah Pathan practices at 4600 Memorial Drive Medical Center 2 Suite 420, Belleveille, IL 62226. The listed phone number is (618) 239-3356.

What is Amanullah Pathan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Amanullah Pathan was last updated on June 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.