Dr Giri Venkata Kaliki, MD, | |
1 Childrens Way, Suite# 653, Little Rock, AR 72202-3500 | |
(501) 364-1100 | |
Not Available |
Full Name | Dr Giri Venkata Kaliki |
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Gender | Male |
Speciality | Pediatrics |
Location | 1 Childrens Way, Little Rock, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619117850 | NPI | - | NPPES |
015069500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | E - 7574 (Arkansas) | Primary |
208000000X | Pediatrics | ME105735 (Florida) | Secondary |
Entity Name | Florida Clinical Practice Association Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
Entity Name | Pediatric Critical Care Of S Fl Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164484432 PECOS PAC ID: 0749535789 Enrollment ID: O20180615001667 |
Entity Name | Pediatric Cardiac Critical Care Of South Florida, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376272591 PECOS PAC ID: 0244616951 Enrollment ID: O20221004002238 |
Mailing Address | Practice Location Address |
---|---|
Dr Giri Venkata Kaliki, MD, 5500 Highland Dr, Apt 1621, Little Rock, AR 72223-2051 Ph: (352) 278-0688 | Dr Giri Venkata Kaliki, MD, 1 Childrens Way, Suite# 653, Little Rock, AR 72202-3500 Ph: (501) 364-1100 |
Dr. Michael William Bishop, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way Fl Wing1, Little Rock, AR 72202 Phone: 501-364-1100 Fax: 501-364-4082 | |
Amber Michele Morse, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 512-16, Little Rock, AR 72202 Phone: 501-364-1050 Fax: 501-364-6931 | |
Dustin Edward Williford, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 512-8, Little Rock, AR 72202 Phone: 501-364-1100 Fax: 501-364-2963 | |
Kristyn N Jeffries, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 512-1, Little Rock, AR 72202 Phone: 501-364-5262 Fax: 501-364-3418 | |
Thanh Thanh Dai, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 512-24a, Little Rock, AR 72202 Phone: 501-364-1100 Fax: 501-364-4082 | |
Indirapriya Darshini Avulakunta, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 512-1, Little Rock, AR 72202 Phone: 501-364-5262 Fax: 501-364-3418 | |
Abdelrahman Masri, Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 512-1, Little Rock, AR 72202 Phone: 501-364-1100 Fax: 501-364-4082 |