Dr Prakash S Bhoopalam, MD | |
2525 W University Ave, Suite 404, Muncie, IN 47303 | |
(765) 231-9494 | |
(765) 587-4456 |
Full Name | Dr Prakash S Bhoopalam |
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Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 2525 W University Ave, Muncie, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942208905 | NPI | - | NPPES |
100362560 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01040631A (Indiana) | Secondary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 01040631A (Indiana) | Primary |
Entity Name | Indiana University Health Ball Memorial Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235455544 PECOS PAC ID: 9537072640 Enrollment ID: O20031110000505 |
Entity Name | Community Physicians Of Indiana Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
Mailing Address | Practice Location Address |
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Dr Prakash S Bhoopalam, MD 6800 W Saint Andrews Ave, Yorktown, IN 47396-9333 Ph: () - | Dr Prakash S Bhoopalam, MD 2525 W University Ave, Suite 404, Muncie, IN 47303 Ph: (765) 231-9494 |
Barbara P Huss, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 205 N Tillotson Ave, Suite 201, Muncie, IN 47304 Phone: 765-289-2353 | |
Dr. Anne J Eliades, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2525 W University Ave, Suite 404, Muncie, IN 47303 Phone: 765-289-2616 Fax: 765-741-3934 | |
Fnu Sandhia, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 205 N Tillotson Ave, Muncie, IN 47304 Phone: 765-288-1928 | |
Craig A Hughes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 205 N Tillotson Ave, Suite 201, Muncie, IN 47304 Phone: 765-289-2353 | |
Dr. Lucille E Kanjer-larson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 205 N Tillotson Ave, Muncie, IN 47304 Phone: 765-291-5437 Fax: 765-284-5387 | |
James R Byrn, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 205 N Tillotson Ave, Muncie, IN 47304 Phone: 765-288-1995 Fax: 765-281-9114 | |
Gary A Palicka, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 205 N Tillotson Ave, Muncie, IN 47304 Phone: 765-288-1995 |