Dr Sujan Gogu, DO | |
1000 E Dove Ave Ste 200, Mcallen, TX 78504-3974 | |
(956) 362-3530 | |
(956) 362-3531 |
Full Name | Dr Sujan Gogu |
---|---|
Gender | Male |
Speciality | Sports Medicine |
Experience | 10 Years |
Location | 1000 E Dove Ave Ste 200, Mcallen, 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 |
---|---|---|---|
1407268162 | NPI | - | NPPES |
731012 | Other | TX | MEDICARE |
1N6372 | Other | TX | PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | R0401 (Texas) | Primary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | R0401 (Texas) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Doctors Hospital At Renaissance | Edinburg, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Renaissance Providers | 3476877879 | 22 |
Entity Name | Southwest Medical Associates, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831299122 PECOS PAC ID: 6204882947 Enrollment ID: O20050325000524 |
Entity Name | Mcallen Hospitalist Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356361976 PECOS PAC ID: 9830113836 Enrollment ID: O20060117001076 |
Entity Name | Renaissance Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467633867 PECOS PAC ID: 1153409867 Enrollment ID: O20080422000326 |
Entity Name | Renaissance Providers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336577477 PECOS PAC ID: 3476877879 Enrollment ID: O20150113000634 |
Entity Name | Goodside Health Medical, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548999451 PECOS PAC ID: 1557745478 Enrollment ID: O20220826000394 |
Mailing Address | Practice Location Address |
---|---|
Dr Sujan Gogu, DO Po Box 4624, Mcallen, TX 78502-4624 Ph: (956) 362-3530 | Dr Sujan Gogu, DO 1000 E Dove Ave Ste 200, Mcallen, TX 78504-3974 Ph: (956) 362-3530 |
Enrique Carrasco Rojas, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 501 N Ware Rd, Mcallen, TX 78501 Phone: 956-668-0044 Fax: 956-687-9747 | |
Dr. Leonel G Moreno, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 606 S Broadway Avenue, Mcallen, TX 78501 Phone: 956-682-4515 Fax: 956-662-7628 | |
Maria De Jesus Munoz, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 E Dove Ave, Mcallen, TX 78504 Phone: 956-362-3520 Fax: 956-362-3529 | |
Jesus A Zavaleta Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 204 Nolana, Mcallen, TX 78504 Phone: 956-687-9554 | |
Ricardo Canales, MD PA Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 Lindberg Ave, Mcallen, TX 78501 Phone: 956-627-0531 Fax: 956-627-0248 | |
Andrew Dela Garza, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 E Toronto Ave, Mcallen, TX 78503 Phone: 956-687-6155 | |
John Steven Hanley, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 110 E Savannah Ave Bldg A203, Mcallen, TX 78503 Phone: 956-686-4040 Fax: 956-686-2939 |