Ajay Shubhadeep Kallam, MD | |
3571 W Wheatland Rd Ste 101, Dallas, TX 75237-3461 | |
(972) 274-5555 | |
(972) 274-5663 |
Full Name | Ajay Shubhadeep Kallam |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 18 Years |
Location | 3571 W Wheatland Rd Ste 101, Dallas, Texas |
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 |
---|---|---|---|
1306003124 | NPI | - | NPPES |
05919 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | Q6432 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Liberty Dialysis - Lancaster | Lancaster, TX | Dialysis facility |
Methodist Charlton Medical Center | Dallas, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dallas Renal Group, P.a. | 0244277283 | 42 |
Entity Name | Dallas Renal Group, P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629186168 PECOS PAC ID: 0244277283 Enrollment ID: O20050412000582 |
Entity Name | Hospitalist Medicine Physicians Of Texas Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629307095 PECOS PAC ID: 3476688318 Enrollment ID: O20100317001021 |
Mailing Address | Practice Location Address |
---|---|
Ajay Shubhadeep Kallam, MD 3571 W Wheatland Rd Ste 101, Dallas, TX 75237-3461 Ph: (972) 274-5555 | Ajay Shubhadeep Kallam, MD 3571 W Wheatland Rd Ste 101, Dallas, TX 75237-3461 Ph: (972) 274-5555 |
Uma B.r.k Pakkivenkata, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 9900 N Central Expy Ste 215, Dallas, TX 75231 Phone: 214-396-4950 Fax: 877-423-5360 | |
Dr. Ariel Marcelo Modrykamien, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3600 Gaston Ave, Wadley Tower, Suite 960, Dallas, TX 75246 Phone: 402-972-6078 | |
Benjamin Seth Martinez, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-3111 Fax: 214-648-5461 | |
Vijaya Mummadi, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 9900 N Central Expy Ste 225, Dallas, TX 75231 Phone: 469-646-8880 Fax: 469-646-8884 | |
Dr. Ting-yi Chen, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-645-2800 Fax: 214-645-2808 | |
William Cook Langmade, MD Nephrology Medicare: Medicare Enrolled Practice Location: 1441 N Beckley Ave, Dallas, TX 75203 Phone: 214-947-2306 | |
Dr. Janame J Kottey, MBBS Nephrology Medicare: Accepting Medicare Assignments Practice Location: 7777 Forest Ln Ste C750, Dallas, TX 75230 Phone: 214-358-2300 Fax: 972-566-4872 |