Dr Manjunath Shivamanya Kottalgi, MD | |
612 W Baseline Rd, Mesa, AZ 85210-6041 | |
(480) 834-9039 | |
(480) 964-7802 |
Full Name | Dr Manjunath Shivamanya Kottalgi |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 17 Years |
Location | 612 W Baseline Rd, Mesa, Arizona |
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 |
---|---|---|---|
1497082432 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 125055930 (Illinois) | Secondary |
207RN0300X | Internal Medicine - Nephrology | 48589 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Winslow Dialysis Center (fmc) | Winslow, AZ | Dialysis facility |
Banner - University Medical Center Phoenix | Phoenix, AZ | Hospital |
Banner Desert Medical Center | Mesa, AZ | Hospital |
St. Joseph's Hospital And Medical Center | Phoenix, AZ | Hospital |
Banner Casa Grande Medical Center | Casa grande, AZ | Hospital |
Summit Healthcare Regional Medical Center | Show low, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Desert Kidney Associates Plc | 4284611286 | 26 |
Dhhs Ihs Phoenix Area | 2668649567 | 56 |
Entity Name | Desert Kidney Associates Plc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144372905 PECOS PAC ID: 4284611286 Enrollment ID: O20040707000402 |
Mailing Address | Practice Location Address |
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Dr Manjunath Shivamanya Kottalgi, MD 612 W Baseline Rd, Mesa, AZ 85210-6041 Ph: (480) 834-9039 | Dr Manjunath Shivamanya Kottalgi, MD 612 W Baseline Rd, Mesa, AZ 85210-6041 Ph: (480) 834-9039 |
Dr. Emmanuel A Bayongan, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1400 S Dobson Rd, Mesa, AZ 85202 Phone: 480-543-2034 Fax: 480-512-6089 | |
Dr. Sanjeev Gopal, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6424 E Broadway Rd, 104-105, Mesa, AZ 85206 Phone: 602-802-8700 Fax: 602-802-8799 | |
Mouhsen H Alhakeem, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1400 S Dobson Road, Attn Amanda Gump/hospitalist, Mesa, AZ 85202 Phone: 480-412-6788 Fax: 480-412-6848 | |
Dr. Bindu Jayavelu, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 301 S Power Rd Ste 103, Mesa, AZ 85206 Phone: 480-325-7535 Fax: 480-325-7462 | |
Mr. Robert Bobek Arashahi, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 5652 E Baseline Rd, Mesa, AZ 85206 Phone: 480-477-7166 | |
Mr. Robert P Tully, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 7525 E Broadway Rd, Ste 2, Mesa, AZ 85208 Phone: 480-981-9800 Fax: 480-985-9465 | |
Joshua D Cohen, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6750 E Baywood Ave, 301, Mesa, AZ 85206 Phone: 480-835-6100 Fax: 480-461-4261 |