Gopi K Gundumalla, MD | |
4439 State Route 159, Ste 204, Chillicothe, OH 45601-8207 | |
(740) 779-8728 | |
(740) 779-8729 |
Full Name | Gopi K Gundumalla |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 39 Years |
Location | 4439 State Route 159, Chillicothe, Ohio |
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 |
---|---|---|---|
1003887381 | NPI | - | NPPES |
3810016457 | Medicaid | WV | |
64053077 | Medicaid | KY | |
3011314 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 36942 (Kentucky) | Secondary |
207RN0300X | Internal Medicine - Nephrology | 35.094522 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Georgetown Community Hospital | Georgetown, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hospital Medicine Services Of Tennessee Pc | 9234432881 | 141 |
Entity Name | Southeastern Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20090715000150 |
Entity Name | Hospital Medicine Services Of Tennessee Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528433802 PECOS PAC ID: 9234432881 Enrollment ID: O20160803001623 |
Mailing Address | Practice Location Address |
---|---|
Gopi K Gundumalla, MD 4439 State Route 159, Ste 204, Chillicothe, OH 45601-8207 Ph: (740) 779-8728 | Gopi K Gundumalla, MD 4439 State Route 159, Ste 204, Chillicothe, OH 45601-8207 Ph: (740) 779-8728 |
Courtney E Little, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4439 State Route 159 Ste 150, Chillicothe, OH 45601 Phone: 740-779-8840 | |
Dr. Gaven Michael Harper, DO Nephrology Medicare: Medicare Enrolled Practice Location: 4439 State Route 159 Ste 150, Chillicothe, OH 45601 Phone: 740-779-7070 Fax: 740-779-8449 | |
Dr. Laure Olutoyosi, MD Nephrology Medicare: Medicare Enrolled Practice Location: 272 Hospital Rd, Chillicothe, OH 45601 Phone: 214-693-0243 | |
Bharat Gautam, Nephrology Medicare: Not Enrolled in Medicare Practice Location: 272 Hospital Rd Ste 150, Chillicothe, OH 45601 Phone: 740-779-8268 | |
Dexter Lee Boggs, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 272 Hospital Rd, Chillicothe, OH 45601 Phone: 740-779-8575 Fax: 740-779-8579 | |
Shakil Hossain, Nephrology Medicare: Medicare Enrolled Practice Location: 272 Hospital Rd, Chillicothe, OH 45601 Phone: 786-521-2173 |