Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mohammed Raasiq Ul Iman Gandam, MD

Individual provider Internal Medicine Physician · NPI 1417584699

Dr. Mohammed Raasiq Ul Iman Gandam, MD is an Internal Medicine in Rockford, Illinois. Qualified in 2015, 11 years ago. Practices with Rockford Hospitalist Group LLC, a 42-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1401 E State St
Rockford, IL 61104-2315
Phone: (770) 696-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036.164074 (IL)

Record details

NPI number1417584699
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 26, 2020
Last updated in NPPESSeptember 26, 2023
Certification dateSeptember 26, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Rockford Hospitalist Group Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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