Dr Frederick Ivan Ende, MD | |
121 S Market St, Petersburg, VA 23803-4217 | |
(804) 733-8771 | |
(804) 733-1017 |
Full Name | Dr Frederick Ivan Ende |
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Gender | Male |
Speciality | Internal Medicine |
Location | 121 S Market St, Petersburg, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497855373 | NPI | - | NPPES |
005861861 | Medicaid | VA | |
250896 | Other | VA | ANTHEM BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | BC83897 (Virginia) | Primary |
Entity Name | Ende Medical Practice, Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710007430 PECOS PAC ID: 1759556459 Enrollment ID: O20111207000866 |
Mailing Address | Practice Location Address |
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Dr Frederick Ivan Ende, MD 121 S Market St, Petersburg, VA 23803-4217 Ph: (804) 733-8771 | Dr Frederick Ivan Ende, MD 121 S Market St, Petersburg, VA 23803-4217 Ph: (804) 733-8771 |
Dr. Clifton Allen Hawkes, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Medical Park Blvd Ste A, Petersburg, VA 23805 Phone: 804-765-6766 Fax: 804-765-6771 | |
Loknath Shandilya, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 95 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-450-3650 | |
Tahir Allauddin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Old Wagner Rd, Suite 101, Petersburg, VA 23805 Phone: 804-524-2260 Fax: 804-524-0096 | |
Robert S Davis, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Old Wagner Rd, Suite 101, Petersburg, VA 23805 Phone: 804-524-2260 Fax: 804-524-0096 | |
Dr. Anwar Kamal Abdullah, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 26317 West Washington Street, Central State Hospital, Petersburg, VA 23803 Phone: 804-524-6540 Fax: 804-524-4866 | |
Dr. Sakuntla Kondragunta, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-765-5991 Fax: 804-765-5809 | |
Dr. Vijaya Lakshmi Chirumamilla, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 S Crater Rd, Suite B, Petersburg, VA 23805 Phone: 804-733-6960 Fax: 804-733-3880 |