Annapurna Pattisapu, MD | |
3464 Avalon Park East Blvd, Orlando, FL 32828-7363 | |
(407) 635-3021 | |
(321) 203-4608 |
Full Name | Annapurna Pattisapu |
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Gender | Female |
Speciality | Internal Medicine |
Location | 3464 Avalon Park East Blvd, Orlando, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972615599 | NPI | - | NPPES |
0576867005 | Medicaid | FL | |
4210891 | Other | FL | AETNA |
11569 | Other | FL | BLUE CROSS & BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME0058005 (Florida) | Primary |
Entity Name | Physician Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336137280 PECOS PAC ID: 0244135093 Enrollment ID: O20031204000591 |
Entity Name | Primary Care Specialists Of Orlando Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740559939 PECOS PAC ID: 9830353317 Enrollment ID: O20120613000295 |
Mailing Address | Practice Location Address |
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Annapurna Pattisapu, MD 235 N Westmonte Dr, Altamonte Springs, FL 32714-3345 Ph: () - | Annapurna Pattisapu, MD 3464 Avalon Park East Blvd, Orlando, FL 32828-7363 Ph: (407) 635-3021 |
Vamsi Kiran Kodumuri, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 258 S Chickasaw Trl Ste 203, Orlando, FL 32825 Phone: 407-303-6588 | |
Francoeur Cadet, D.O Internal Medicine Medicare: Medicare Enrolled Practice Location: 232 N Orange Blossom Trl, Orlando, FL 32805 Phone: 407-428-5751 Fax: 407-447-7245 | |
Andrija Vidic, D.O Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2415 N Orange Ave Ste 700, Orlando, FL 32804 Phone: 407-303-2474 Fax: 407-303-0680 | |
Albagir Mohamed Alarabi, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 E Rollins St, Orlando, FL 32803 Phone: 407-303-5600 | |
Azin Azarfar, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3400 Quadrangle Blvd, Orlando, FL 32817 Phone: 407-266-3627 Fax: 407-266-4911 | |
Zain Zamir, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2501 N Orange Ave Ste 235, Orlando, FL 32804 Phone: 407-303-7169 | |
Dr. Arsenio R Rodriguez, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1745 N Mills Avenue, Orlando, FL 32803 Phone: 407-841-7151 Fax: 407-648-2259 |