Dr Ravi K Koduru, MD | |
1332 N 7th St, Terre Haute, IN 47807-1004 | |
(812) 478-8888 | |
(812) 478-1114 |
Full Name | Dr Ravi K Koduru |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 30 Years |
Location | 1332 N 7th St, Terre Haute, Indiana |
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 |
---|---|---|---|
1265521058 | NPI | - | NPPES |
P00057068 | Other | IN | RR MEDICARE |
P01045883 | Other | IN | RAILROAD MEDICARE |
000000299607 | Other | IN | COMMERCIAL |
200456210 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 01057643A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Home Health | Bloomington, IN | Home health agency |
Visiting Nurse Association Of The Wabash Valley In | Terre haute, IN | Home health agency |
Hospice Of The Wabash Valley Inc | Terre haute, IN | Hospice |
Union Hospital Inc | Terre haute, IN | Hospital |
Union Hospital Clinton | Clinton, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Healthcare Services Inc | 2163339722 | 3341 |
Union Hospital Inc | 8426943614 | 67 |
Entity Name | Union Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013965573 PECOS PAC ID: 8426943614 Enrollment ID: O20040519000807 |
Mailing Address | Practice Location Address |
---|---|
Dr Ravi K Koduru, MD 264 E Trailwood Dr, Terre Haute, IN 47802-9606 Ph: (812) 478-8888 | Dr Ravi K Koduru, MD 1332 N 7th St, Terre Haute, IN 47807-1004 Ph: (812) 478-8888 |
Diane Jordan-wagner, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1429 N 6th St, Terre Haute, IN 47804 Phone: 812-232-0564 Fax: 812-235-3330 | |
Casey E Jacobs-campbell, FNP-BC Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1801 N 6th St, Terre Haute, IN 47804 Phone: 812-238-4708 | |
Imad George Koj, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3903 S 7th St, Ste 2e, Terre Haute, IN 47802 Phone: 812-235-7370 Fax: 812-235-7570 | |
Sudha Patel, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6288 S Frye St, Terre Haute, IN 47802 Phone: 812-894-2130 | |
Dr. Dipen V Shah, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1332 N 7th St, Terre Haute, IN 47807 Phone: 812-478-8888 Fax: 812-478-1114 | |
Dr. Tony K. Nasser, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2723 S 7th Street, Suite A, Terre Haute, IN 47802 Phone: 812-232-8164 Fax: 812-234-6391 | |
Nawar F Mercho, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2723 S 7th St, Suite A, Terre Haute, IN 47802 Phone: 812-232-8164 Fax: 812-234-6391 |