Hosahally Nagaraj, MD | |
151 S Oak Ave Ste 6, San Luis, AZ 85336-0756 | |
(928) 662-0409 | |
(928) 722-6113 |
Full Name | Hosahally Nagaraj |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 44 Years |
Location | 151 S Oak Ave Ste 6, San Luis, Arizona |
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 |
---|---|---|---|
1255449906 | NPI | - | NPPES |
01269772 | Medicaid | NY | |
10001449 | Other | NY | CDPHP |
000410983001 | Other | NY | BSNENY |
2600296 | Other | NY | GHI |
187428-8CAN | Other | NY | WC |
5765306 | Other | NY | AETNA |
05277 | Other | NY | MVP |
12G281 | Other | NY | EMPIRE BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 187428 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Verde Valley Medical Center | Cottonwood, AZ | Hospital |
Palmdale Regional Medical Center | Palmdale, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aepc Anesthesia Llc | 3476708330 | 2 |
Palmdale Anesthesia, Inc | 4385082734 | 14 |
Northern Arizona Healthcare Corporation | 3577473362 | 352 |
Entity Name | Aepc Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477846673 PECOS PAC ID: 3476708330 Enrollment ID: O20130226000021 |
Entity Name | Hosahally Nagaraj Md Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144694977 PECOS PAC ID: 7911207543 Enrollment ID: O20151203000639 |
Entity Name | Ranger Anesthesia Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588131213 PECOS PAC ID: 3779823562 Enrollment ID: O20190313002427 |
Entity Name | Palmdale Anesthesia, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205698115 PECOS PAC ID: 4385082734 Enrollment ID: O20240403003660 |
Mailing Address | Practice Location Address |
---|---|
Hosahally Nagaraj, MD Po Box 617, Somerton, AZ 85350-0617 Ph: (928) 315-7910 | Hosahally Nagaraj, MD 151 S Oak Ave Ste 6, San Luis, AZ 85336-0756 Ph: (928) 662-0409 |