Dr Venkata Surya Phani Bhushan Durvasula, MD | |
403 W Oak St Ste 105, El Dorado, AR 71730-4573 | |
(870) 639-8105 | |
(870) 639-8109 |
Full Name | Dr Venkata Surya Phani Bhushan Durvasula |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 30 Years |
Location | 403 W Oak St Ste 105, El Dorado, Arkansas |
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 |
---|---|---|---|
1770861478 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | E-7645 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Medical Center Of South Arkansas | El dorado, AR | Hospital |
Ouachita County Medical Center | Camden, AR | Hospital |
Entity Name | University Of Arkansas For Medical Sciences |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346230968 PECOS PAC ID: 4082528955 Enrollment ID: O20040115000431 |
Entity Name | South Arkansas Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427018704 PECOS PAC ID: 0749273670 Enrollment ID: O20040406001623 |
Entity Name | Jaiarka Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730844168 PECOS PAC ID: 5991197576 Enrollment ID: O20220111000287 |
Mailing Address | Practice Location Address |
---|---|
Dr Venkata Surya Phani Bhushan Durvasula, MD 403 W Oak St Ste 105, El Dorado, AR 71730-4573 Ph: (870) 639-8105 | Dr Venkata Surya Phani Bhushan Durvasula, MD 403 W Oak St Ste 105, El Dorado, AR 71730-4573 Ph: (870) 639-8105 |
Sharon Marie Tomaski, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 620 W Grove St Ste 201, El Dorado, AR 71730 Phone: 870-864-3352 Fax: 870-864-3255 |