Dr Srinath Kotamarti, | |
2705 Prince George Ave, Desoto, TX 75115-2045 | |
(972) 780-0480 | |
(972) 780-1453 |
Full Name | Dr Srinath Kotamarti |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 9 Years |
Location | 2705 Prince George Ave, Desoto, Texas |
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 |
---|---|---|---|
1801281316 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | U2540 (Texas) | Primary |
208800000X | Urology | 2021-01215 (North Carolina) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Methodist Charlton Medical Center | Dallas, TX | Hospital |
Methodist Dallas Medical Center | Dallas, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Texas Oncology Pa | 5395658934 | 886 |
Entity Name | Texas Oncology Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811944101 PECOS PAC ID: 5395658934 Enrollment ID: O20031124000323 |
Mailing Address | Practice Location Address |
---|---|
Dr Srinath Kotamarti, Po Box 911230, Dallas, TX 75391-1230 Ph: (972) 997-8000 | Dr Srinath Kotamarti, 2705 Prince George Ave, Desoto, TX 75115-2045 Ph: (972) 780-0480 |
Dr. Siddharth Gulabchand Jain, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2705 Prince George Ave, Desoto, TX 75115 Phone: 972-780-0480 Fax: 972-780-1453 | |
Dr. Allan Chad Van Horn, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2705 Prince George Ave, Desoto, TX 75115 Phone: 972-780-0480 Fax: 972-780-1453 | |
Kenneth I Licker, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 935 York Dr, Desoto, TX 75115 Phone: 817-784-0818 Fax: 972-709-5920 |