Dr Venkata R Dharbhamulla, MD | |
1322 Eisenhower Blvd, Johnstown, PA 15904-3307 | |
(814) 536-8969 | |
(814) 536-7180 |
Full Name | Dr Venkata R Dharbhamulla |
---|---|
Gender | Male |
Speciality | Pediatric Medicine |
Experience | 39 Years |
Location | 1322 Eisenhower Blvd, Johnstown, Pennsylvania |
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 |
---|---|---|---|
1033272513 | NPI | - | NPPES |
1007708200001 | Medicaid | PA | |
0016452420001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD058564L (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pediatric Care Specialists | 9537333604 | 6 |
Entity Name | Pediatric Care Specialists |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346236833 PECOS PAC ID: 9537333604 Enrollment ID: O20111130000082 |
Mailing Address | Practice Location Address |
---|---|
Dr Venkata R Dharbhamulla, MD 1322 Eisenhower Blvd, Johnstown, PA 15904-3307 Ph: (814) 536-8969 | Dr Venkata R Dharbhamulla, MD 1322 Eisenhower Blvd, Johnstown, PA 15904-3307 Ph: (814) 536-8969 |
Ms. Linsey Joy Donoughe, PA-C Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-9794 Fax: 814-534-3479 | |
Johnnie Wilson Barto, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 323 Budfield St, Johnstown, PA 15904 Phone: 814-262-9500 Fax: 814-262-7303 | |
Karl Berger, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1141 Franklin St, Franklin Street Pediatrics, Johnstown, PA 15905 Phone: 814-536-8956 Fax: 814-539-6601 | |
Stephanie Ann Porter, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 323 Budfield St, Johnstown, PA 15904 Phone: 814-262-9500 Fax: 814-262-9142 | |
Michelle R Sredy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1322 Eisenhower Blvd, Johnstown, PA 15904 Phone: 814-266-8840 Fax: 814-266-2176 | |
Dr. Bradley Russell Drennen, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1322 Eisenhower Blvd, Johnstown, PA 15904 Phone: 814-266-8840 Fax: 814-266-2176 |