Dr Rajamanickam Purushothaman, MD | |
1965 S Fremont Ave, Suite 300, Springfield, MO 65804-2201 | |
(417) 820-3760 | |
(417) 820-3770 |
Full Name | Dr Rajamanickam Purushothaman |
---|---|
Gender | Male |
Speciality | |
Experience | Years |
Location | 1965 S Fremont Ave, Springfield, Missouri |
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 |
---|---|---|---|
1558403519 | NPI | - | NPPES |
82272 | Other | MO | AR BLUE SHIELD # |
203973813 | Medicaid | MO | |
148760001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | 105696 (Missouri) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Rajamanickam Purushothaman, MD Po Box 2580, Springfield, MO 65801-2580 Ph: (417) 829-4620 | Dr Rajamanickam Purushothaman, MD 1965 S Fremont Ave, Suite 300, Springfield, MO 65804-2201 Ph: (417) 820-3760 |
Dr. Mark H. Grimm, MD Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 3231 S National Ave, Springfield, MO 65807 Phone: 417-888-5696 Fax: 417-888-6711 | |
Dr. Sridevi Durga, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 3800 S National Ave, Suite 400, Springfield, MO 65807 Phone: 417-875-2633 Fax: 417-875-3295 | |
Bradley D Wiley, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3000 Fax: 417-875-3051 | |
Walter S. Trombold, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 6044 S Overlook Trl, Springfield, MO 65810 Phone: 417-771-5778 | |
Ghulam Jeelani Siddiqui, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 2115 S Fremont Ave, Suite 3300, Springfield, MO 65804 Phone: 417-820-5200 Fax: 417-820-5220 | |
Danny R Penick, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-0000 | |
Dr. Anne Marsh Egbert, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 4630 W Farm Road 82, Springfield, MO 65803 Phone: 417-522-5551 Fax: 417-722-0001 |