Ajaychandra Reddy Malladi, MD | |
2300 N 14th Ave Ste 104, Dodge City, KS 67801-2367 | |
(620) 371-7010 | |
Not Available |
Full Name | Ajaychandra Reddy Malladi |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 12 Years |
Location | 2300 N 14th Ave Ste 104, Dodge City, Kansas |
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 |
---|---|---|---|
1114379534 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301109524 (Michigan) | Secondary |
207R00000X | Internal Medicine | 04-41883 (Kansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hospice Of The Prairie | Dodge city, KS | Home health agency |
Western Plains Medical Complex | Dodge city, KS | Hospital |
St Catherine Hospital | Garden city, KS | Hospital |
Trinity Manor | Dodge city, KS | Nursing home |
Manor Of The Plains | Dodge city, KS | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St. Catherine Hospital | 4789595844 | 75 |
Entity Name | St. Catherine Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659360196 PECOS PAC ID: 4789595844 Enrollment ID: O20050302000707 |
Entity Name | Western Plains Physician Practices Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215292701 PECOS PAC ID: 2264597798 Enrollment ID: O20121128000184 |
Entity Name | Kansas Hospitalist Services Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497255418 PECOS PAC ID: 6103171160 Enrollment ID: O20180614001581 |
Mailing Address | Practice Location Address |
---|---|
Ajaychandra Reddy Malladi, MD 44405 Woodward Ave, H-23, Pontiac, MI 48341-5023 Ph: (248) 858-6233 | Ajaychandra Reddy Malladi, MD 2300 N 14th Ave Ste 104, Dodge City, KS 67801-2367 Ph: (620) 371-7010 |
Kirk D Gross, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2020 Central Ave, Dodge City, KS 67801 Phone: 620-227-1371 Fax: 620-227-1208 | |
Dr. Anusha Reddy Karra, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 112 W Ross Blvd Ste A, Dodge City, KS 67801 Phone: 620-371-7010 Fax: 620-371-7011 | |
Muhammad Akmal Khan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 W Ross Blvd Ste 2b, Dodge City, KS 67801 Phone: 620-225-3900 Fax: 620-225-3901 | |
Dr. Muhammad Rizwan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3001 Avenue A, Dodge City, KS 67801 Phone: 620-225-8400 |