Dr Venkat Pridhvi Nutalapati, MBBS | |
11311 Bridgeport Way Sw Ste 207, Lakewood, WA 98499-3051 | |
(253) 272-8664 | |
(253) 627-7880 |
Full Name | Dr Venkat Pridhvi Nutalapati |
---|---|
Gender | Male |
Speciality | Internal Medicine - Gastroenterology |
Location | 11311 Bridgeport Way Sw Ste 207, Lakewood, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114367869 | NPI | - | NPPES |
2211808 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | MD61274732 (Washington) | Primary |
207R00000X | Internal Medicine | 04-38964 (Kansas) | Secondary |
Entity Name | Franciscan Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093165334 PECOS PAC ID: 0547173866 Enrollment ID: O20031111000789 |
Mailing Address | Practice Location Address |
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Dr Venkat Pridhvi Nutalapati, MBBS 11311 Bridgeport Way Sw Ste 207, Lakewood, WA 98499-3051 Ph: (253) 272-8664 | Dr Venkat Pridhvi Nutalapati, MBBS 11311 Bridgeport Way Sw Ste 207, Lakewood, WA 98499-3051 Ph: (253) 272-8664 |
Johnathan Ha, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 11311 Bridgeport Way Sw Ste 207, Lakewood, WA 98499 Phone: 253-272-8664 Fax: 253-627-7880 | |
Jaime Geraldo Yeverino-flores, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 10510 Gravelly Lake Dr Sw, Lakewood, WA 98499 Phone: 253-589-7030 | |
Dr. Radu Adrian Florea, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 11315 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-426-6341 Fax: 206-965-4119 | |
Miss Expedita L. Castro, Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 7201 Holly Hedge Ln Sw, #10, Lakewood, WA 98499 Phone: 253-589-6598 | |
Thomas M Baker, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 11311 Bridgeport Way Sw, Suite 304, Lakewood, WA 98499 Phone: 253-983-1977 Fax: 253-983-1976 | |
Nancy J Nam, DO Gastroenterology Medicare: Medicare Enrolled Practice Location: 11315 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-426-6341 Fax: 253-426-6344 |