Dr Venkatesh R Kandallu, MD | |
205 10th St Ne, Auburn, WA 98002-4019 | |
(253) 939-1230 | |
Not Available |
Full Name | Dr Venkatesh R Kandallu |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 36 Years |
Location | 205 10th St Ne, Auburn, Washington |
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 |
---|---|---|---|
1265494561 | NPI | - | NPPES |
0280779 | Other | WA | STATE L&I |
0280798 | Other | WA | STATE L&I |
0280788 | Other | WA | STATE L&I |
8214868 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | MD00035482 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Francis Community Hospital | Federal way, WA | Hospital |
Multicare Auburn Medical Center | Auburn, WA | Hospital |
St Elizabeth Hospital | Enumclaw, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Franciscan Medical Group | 0547173866 | 1173 |
Entity Name | Franciscan Medical Group |
---|---|
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 |
---|---|
Dr Venkatesh R Kandallu, MD 202 N Division St, Ste 201, Auburn, WA 98001-4939 Ph: (253) 939-1230 | Dr Venkatesh R Kandallu, MD 205 10th St Ne, Auburn, WA 98002-4019 Ph: (253) 939-1230 |
Eduardo Gil De Rubio, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 202 N Division St, Auburn, WA 98001 Phone: 253-833-7711 | |
Dr. Robert Todd Middleton, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 202 N Division St, Ste 201, Auburn, WA 98001 Phone: 253-939-1230 Fax: 253-735-1211 | |
Abdul R Siddiqui, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 202 N Division St Ste 301, Auburn, WA 98001 Phone: 253-288-3040 | |
Dr. Krystoff J. Godlewski, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 202 N Division St, Plaza 2 Suite 201, Auburn, WA 98001 Phone: 253-939-1230 Fax: 253-735-6479 | |
Iliana Domenica Micali, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 309 2nd St Se, Ste 100, Auburn, WA 98002 Phone: 253-333-8646 | |
Dr. James Martin Wagner, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 202 N Division St, Plaza 2 Suite 201, Auburn, WA 98001 Phone: 253-939-1230 | |
Madhavi Reddy Mandala, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 202 N Division St Ste 301, Auburn, WA 98001 Phone: 253-833-7256 |