Dr Prakash R Bontu, MD | |
1236 E Rusholme St, Suite 300, Davenport, IA 52803-2473 | |
(563) 324-2992 | |
(563) 888-0499 |
Full Name | Dr Prakash R Bontu |
---|---|
Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 1236 E Rusholme St, Davenport, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912986837 | NPI | - | NPPES |
2218230 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 24121 (Iowa) | Primary |
Entity Name | Cardiovascular Medicine Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982632907 PECOS PAC ID: 2264334721 Enrollment ID: O20040322001926 |
Mailing Address | Practice Location Address |
---|---|
Dr Prakash R Bontu, MD 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2473 Ph: (563) 324-2992 | Dr Prakash R Bontu, MD 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2473 Ph: (563) 324-2992 |
Dr. Humphrey Wong, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1801 E 54th St, Ste 100, Davenport, IA 52807 Phone: 563-323-1229 Fax: 563-323-8240 | |
Devika Kir, MD Cardiovascular Disease Medicare: May Accept Medicare Assignments Practice Location: 1236 E Rusholme St Ste 300, Davenport, IA 52803 Phone: 563-324-2992 Fax: 563-324-8562 | |
Mouhamed Walid Al Sheikha, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2162 W Kimberly Rd, Davenport, IA 52806 Phone: 563-391-1024 Fax: 563-391-1024 | |
Louis M Katz, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1351 W Central Park Ave, Davenport, IA 52804 Phone: 563-421-4244 Fax: 563-421-4285 | |
Catherine L Weideman, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1351 W Central Park Ave, Ste 350, Davenport, IA 52804 Phone: 563-421-4620 Fax: 563-421-4625 | |
Dr. Eric J Dippel, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3385 Dexter Ct Ste 100, Davenport, IA 52807 Phone: 563-324-3818 Fax: 563-326-4280 | |
Sami Faruqui, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1970 E 53rd St, Davenport, IA 52807 Phone: 563-359-3949 Fax: 563-355-1159 |