Adarsh Reddy Kancharla, MD | |
101 E Wood St, Spartanburg, SC 29303-3040 | |
(864) 560-6287 | |
(864) 560-7091 |
Full Name | Adarsh Reddy Kancharla |
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Gender | Male |
Speciality | Pediatrics |
Location | 101 E Wood St, Spartanburg, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932413259 | NPI | - | NPPES |
3810026559 | Medicaid | WV | |
835314 | Medicaid | SC | |
SCI0663365 | Other | SC | MEDICARE PIN |
SCI0665019 | Other | SC | MEDICARE PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25331 (West Virginia) | Secondary |
208000000X | Pediatrics | 56601 (Wisconsin) | Secondary |
208000000X | Pediatrics | 83531 (South Carolina) | Primary |
Entity Name | Ascension Medical Group-northern Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265507537 PECOS PAC ID: 8426960022 Enrollment ID: O20031103000345 |
Entity Name | Aspirus Stevens Point Hospital & Clinics, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538112230 PECOS PAC ID: 1850358938 Enrollment ID: O20041210000558 |
Mailing Address | Practice Location Address |
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Adarsh Reddy Kancharla, MD Po Box 743070, Atlanta, GA 30374-3070 Ph: () - | Adarsh Reddy Kancharla, MD 101 E Wood St, Spartanburg, SC 29303-3040 Ph: (864) 560-6287 |
Dr. Marcia L Parra, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8311 Warren H Abernathy Hwy, Spartanburg, SC 29301 Phone: 864-560-9600 Fax: 864-560-9613 | |
Mrs. Donna P Smith, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8311 Warren H Abernathy Hwy, Spartanburg, SC 29301 Phone: 864-562-5400 Fax: 864-562-5430 | |
Everett Lee Belvin Ii, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1686 Skylyn Dr, Suite 201, Spartanburg, SC 29307 Phone: 864-582-8135 Fax: 864-573-9757 | |
Ernest N Mistr, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1330 Boiling Springs Rd, Suite 1300, Spartanburg, SC 29303 Phone: 864-560-6345 | |
Mrs. Alanna Ahlers Nutz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3020 Reidville Rd, Suite B, Spartanburg, SC 29301 Phone: 864-272-0388 Fax: 864-213-9237 | |
Christine Hidalgo Philpott, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 201 E Broad St, Spartanburg, SC 29306 Phone: 864-707-2135 Fax: 864-707-2136 | |
George Chester Glenn Iii, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1686 Skyland Drive, Suite 201, Spartanburg, SC 29307 Phone: 864-582-8135 Fax: 864-573-9757 |