Dr Bala Gangadhara Reddy Thatigotla, MD | |
210 Ashville Ave, Cary, NC 27518-6676 | |
(919) 350-7331 | |
(919) 851-6757 |
Full Name | Dr Bala Gangadhara Reddy Thatigotla |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 26 Years |
Location | 210 Ashville Ave, Cary, North Carolina |
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 |
---|---|---|---|
1427225317 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 2022-03263 (North Carolina) | Primary |
208600000X | Surgery | 267683 (New York) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Wakemed, Cary Hospital | Cary, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wakemed Specialists Group Llc | 2466788377 | 701 |
Entity Name | Wakemed Specialists Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588227839 PECOS PAC ID: 2466788377 Enrollment ID: O20190731000815 |
Mailing Address | Practice Location Address |
---|---|
Dr Bala Gangadhara Reddy Thatigotla, MD 4401 Dominion Crest Dr, Apex, NC 27523-6257 Ph: (646) 938-3785 | Dr Bala Gangadhara Reddy Thatigotla, MD 210 Ashville Ave, Cary, NC 27518-6676 Ph: (919) 350-7331 |
Hannah Leigh Goodrum, PA-C Surgery Medicare: Medicare Enrolled Practice Location: 210 Ashville Ave, Cary, NC 27518 Phone: 919-350-9355 Fax: 919-851-6757 | |
Dr. Eric David Duberman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 155 Parkway Office Ct, Cary, NC 27518 Phone: 919-859-4747 Fax: 919-859-4757 | |
Sindi Diko, DO Surgery Medicare: Not Enrolled in Medicare Practice Location: 210 Ashville Ave, Cary, NC 27518 Phone: 919-350-7331 Fax: 919-350-9808 | |
David M Pilati, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 160 Macgregor Pines Dr, Suite 310, Cary, NC 27511 Phone: 919-234-4468 Fax: 919-313-1276 | |
Ian A Villanueva, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 208 Ashville Ave, Suite 14, Cary, NC 27518 Phone: 919-350-9625 Fax: 919-851-6757 | |
Dr. Kenneth R Hauswald, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1505 Sw Cary Pkwy, Suite 302, Cary, NC 27511 Phone: 919-367-2580 | |
Dr. Brian Stuart Coan, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2001 Weston Pkwy, Cary, NC 27513 Phone: 919-484-4484 Fax: 919-484-1414 |