Ajay K Kottapalli, MD | |
100 Jackson Pike, Gallipolis, OH 45631-1560 | |
(740) 446-5287 | |
(740) 446-5854 |
Full Name | Ajay K Kottapalli |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 34 Years |
Location | 100 Jackson Pike, Gallipolis, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174560148 | NPI | - | NPPES |
000000185257 | Other | OH | UNISON MEDICAID |
000000198554 | Other | ANTHEM BCBS | |
310917085049 | Other | OH | OH MEDICAID CARESOURCE |
2088753 | Other | OH | MOLINA MEDICAID |
000357167 | Other | MOUNTAIN STATE BCBS | |
110192508 | Other | RR MEDICARE | |
0080104000 | Medicaid | WV | |
2088753 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 35-07-4335 (Ohio) | Primary |
207R00000X | Internal Medicine | 18873 (West Virginia) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Holzer Medical Center | Gallipolis, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Holzer Clinic Llc | 5890606008 | 264 |
Entity Name | Holzer Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508817248 PECOS PAC ID: 5890606008 Enrollment ID: O20031215000746 |
Mailing Address | Practice Location Address |
---|---|
Ajay K Kottapalli, MD 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5287 | Ajay K Kottapalli, MD 100 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5287 |
Utpal K Bhanja, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 170 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-5622 | |
Ashok K. Dayal, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-5486 | |
Rajesh Rajan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-5982 | |
Michael J. Owens, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5131 Fax: 740-446-5486 | |
Rodney B. Stout, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5763 Fax: 740-446-5573 | |
Robert S Bradley, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-5883 |