Balaji Srinivas, MD | |
1311 N Mildred Rd, Cortez, CO 81321-2231 | |
(970) 565-6666 | |
Not Available |
Full Name | Balaji Srinivas |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1311 N Mildred Rd, Cortez, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1700315934 | NPI | - | NPPES |
Entity Name | Dhhs Phs Naihs Shiprock Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809 |
Entity Name | Dhhs,phs,naihs, Gallup Indian Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840 |
Mailing Address | Practice Location Address |
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Balaji Srinivas, MD Po Box 1337, Gallup, NM 87305-1337 Ph: (505) 722-1000 | Balaji Srinivas, MD 1311 N Mildred Rd, Cortez, CO 81321-2231 Ph: (970) 565-6666 |
Dr. Todd R Fowler, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1311 N Mildred Rd, Cortez, CO 81321 Phone: 970-565-6666 | |
Jennifer Ann Gero, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1311 N Mildred Rd, Cortez, CO 81321 Phone: 970-564-2152 | |
Dr. David Buckwalter, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1311 N Mildred Rd, Cortez, CO 81321 Phone: 970-565-6666 | |
Sean Philip Rooks, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1311 N Mildred Rd, Cortez, CO 81321 Phone: 970-565-6666 | |
Dr. Matthew R Kamper, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1311 N Mildred Rd, Cortez, CO 81321 Phone: 970-565-6666 | |
Kenton Lee Asche, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1311 N Mildred Rd, Cortez, CO 81321 Phone: 970-565-6666 Fax: 970-564-2155 |