Dhanunjay Sarma Boyalakuntla, | |
4900 Houston Rd, Florence, KY 41042-4824 | |
(859) 301-8074 | |
(859) 301-4945 |
Full Name | Dhanunjay Sarma Boyalakuntla |
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Gender | Male |
Speciality | Hospitalist |
Location | 4900 Houston Rd, Florence, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134785603 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 58.031128 (Ohio) | Secondary |
207R00000X | Internal Medicine | 05174 (Kentucky) | Secondary |
208M00000X | Hospitalist | 05174 (Kentucky) | Primary |
Entity Name | Summit Medical Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20040403000151 |
Mailing Address | Practice Location Address |
---|---|
Dhanunjay Sarma Boyalakuntla, Po Box 635283, Cincinnati, OH 45263-8434 Ph: (598) 344-5555 | Dhanunjay Sarma Boyalakuntla, 4900 Houston Rd, Florence, KY 41042-4824 Ph: (859) 301-8074 |
David Kleesattel, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4900 Houston Rd, Florence, KY 41042 Phone: 859-331-6466 Fax: 859-344-7930 | |
Cruff Renard, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4900 Houston Rd, Florence, KY 41042 Phone: 859-301-8074 Fax: 859-301-4945 | |
Dr. Vivekananda Sharanappa Adike, M.D., Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4900 Houston Rd, Florence, KY 41042 Phone: 859-301-8074 Fax: 859-301-4945 |