Dr Sreenivasa Rao Chanamolu, MD, | |
770 W High St, Suite 240, Lima, OH 45801-3990 | |
(419) 996-2686 | |
(419) 996-5165 |
Full Name | Dr Sreenivasa Rao Chanamolu |
---|---|
Gender | Male |
Speciality | Pulmonary Disease |
Experience | 30 Years |
Location | 770 W High St, Lima, Ohio |
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 |
---|---|---|---|
1992897680 | NPI | - | NPPES |
2691305 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 35088188 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Health-st Rita's Medical Center | Lima, OH | Hospital |
Wilson Memorial Hospital | Sidney, OH | Hospital |
Grand Lake Health System | Saint marys, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Joint Township District Memorial Hospital | 3870491590 | 47 |
Wilson Care, Llc | 4385549666 | 59 |
Mercy Health Physicians Lima Specialty Care Llc | 7012332364 | 200 |
Entity Name | Wilson Care, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205886926 PECOS PAC ID: 4385549666 Enrollment ID: O20031201000170 |
Entity Name | Joint Township District Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639133002 PECOS PAC ID: 3870491590 Enrollment ID: O20031219000416 |
Entity Name | Knd Development 59 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992034680 PECOS PAC ID: 3678602802 Enrollment ID: O20100909000197 |
Entity Name | Mercy Health Physicians Lima Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518589803 PECOS PAC ID: 7012332364 Enrollment ID: O20200803002433 |
Mailing Address | Practice Location Address |
---|---|
Dr Sreenivasa Rao Chanamolu, MD, Po Box 636930, Cincinnati, OH 45263-0001 Ph: (800) 514-4390 | Dr Sreenivasa Rao Chanamolu, MD, 770 W High St, Suite 240, Lima, OH 45801-3990 Ph: (419) 996-2686 |
Nadia Ghallab, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-226-4310 Fax: 419-226-4315 | |
Deena M Hassuna, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 825 W Market St Ste 260, Lima, OH 45805 Phone: 199-964-0034 Fax: 419-996-5276 | |
Mr. Tariq I Sheikh, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2793 Shawnee Rd, Lima, OH 45806 Phone: 419-227-8209 Fax: 419-222-6007 | |
Nathaniel Eric Quinn, MD, MPH, CPH Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-226-9301 | |
Dr. Eliyazar Gaddam, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 951 Commerce Pkwy, Suite 100, Lima, OH 45804 Phone: 419-224-5915 Fax: 419-224-5918 | |
Pratap Balusu, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 750 W High St, Ste 250, Lima, OH 45801 Phone: 419-227-7399 Fax: 419-229-0123 | |
Mr. Charles W Brunelle, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 375 N Eastown Rd, Lima, OH 45807 Phone: 419-228-3500 Fax: 419-228-6700 |