Dr Pramod Reddy Kayathi, MD | |
2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | |
(575) 521-5385 | |
Not Available |
Full Name | Dr Pramod Reddy Kayathi |
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Gender | Male |
Speciality | Family Medicine |
Location | 2450 S Telshor Blvd, Las Cruces, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487214631 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | RS2019-0553 (New Mexico) | Primary |
Entity Name | Medstar Medical Group Ii Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000347 |
Mailing Address | Practice Location Address |
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Dr Pramod Reddy Kayathi, MD 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 Ph: (575) 521-5385 | Dr Pramod Reddy Kayathi, MD 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 Ph: (575) 521-5385 |
Dr. Tiffany Kayla Autry, DNP FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1005 S Telshor Blvd Ste A, Las Cruces, NM 88011 Phone: 575-262-7546 Fax: 575-888-2273 | |
Christopher James Magulick, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2450 S Telshor Blvd, Las Cruces, NM 88011 Phone: 575-521-5385 Fax: 575-521-5568 | |
Dr. Susan Diane Thomas, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2450 S Telshor Blvd, Las Cruces, NM 88011 Phone: 505-521-5381 Fax: 505-521-5376 | |
Alaa Masjune, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2450 S Telshor Blvd, Las Cruces, NM 88011 Phone: 575-521-5385 | |
Dr. Denise A. Leonardi, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1135 S Main St, Suite B, Las Cruces, NM 88005 Phone: 505-525-4000 Fax: 505-525-4050 | |
Baldomero P Garcia, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3003 Hillrise Dr, Suite A, Las Cruces, NM 88011 Phone: 575-521-7550 Fax: 575-521-7617 | |
Dr. Roset Samuel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4371 E Lohman Ave, Las Cruces, NM 88011 Phone: 575-532-8900 Fax: 575-532-8974 |