Dr Srivilliputtur Gopalan Santhana Krishnan, MD | |
330 E Beltline Ave Ne, Suite 100, Grand Rapids, MI 49506-1267 | |
(616) 752-6235 | |
(616) 328-8177 |
Full Name | Dr Srivilliputtur Gopalan Santhana Krishnan |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 32 Years |
Location | 330 E Beltline Ave Ne, Grand Rapids, Michigan |
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 |
---|---|---|---|
1902850316 | NPI | - | NPPES |
1902850316 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 4301093886 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fmc Hastings Ave - Holland | Holland, MI | Dialysis facility |
Spectrum Health | Grand rapids, MI | Hospital |
Metro Health Hospital | Wyoming, MI | Hospital |
Mercy Health Saint Mary's | Grand rapids, MI | Hospital |
Holland Community Hospital | Holland, MI | Hospital |
Spectrum Health Zeeland Community Hospital | Zeeland, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Renal Associates Of West Michigan Pc | 2466348644 | 17 |
Entity Name | Renal Associates Of West Michigan Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871674200 PECOS PAC ID: 2466348644 Enrollment ID: O20040225000277 |
Mailing Address | Practice Location Address |
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Dr Srivilliputtur Gopalan Santhana Krishnan, MD 330 E Beltline Ave Ne, Suite 100, Grand Rapids, MI 49506-1267 Ph: (616) 752-6235 | Dr Srivilliputtur Gopalan Santhana Krishnan, MD 330 E Beltline Ave Ne, Suite 100, Grand Rapids, MI 49506-1267 Ph: (616) 752-6235 |
Maureen Tan Pedres, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Suite A721, Grand Rapids, MI 49503 Phone: 616-391-3139 Fax: 616-391-3044 | |
Jeffery Allen Woo, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1900 Wealthy St Se, Ste 150, Grand Rapids, MI 49506 Phone: 616-459-3158 Fax: 616-988-0071 | |
Robert W Selfe, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 221 Michigan St Ne, Suite 200, Grand Rapids, MI 49503 Phone: 616-267-8950 Fax: 616-267-8585 | |
Dr. Erin Megan Pettijohn, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503 Phone: 616-685-5600 | |
Dr. Andrew Leo Sochacki, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 5800 Foremost Dr Se Ste 200, Grand Rapids, MI 49546 Phone: 616-389-1800 | |
Aline De Quadros Teixeira, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-3139 | |
Stephanie F Williams, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 145 Michigan St Ne, Suite 5200, Grand Rapids, MI 49503 Phone: 616-486-5933 Fax: 616-486-6489 |