Kallanagouda Nandihalli, MD | |
711 S Health Pkwy, Suite 4, Three Rivers, MI 49093-9387 | |
(269) 273-8557 | |
(269) 279-6461 |
Full Name | Kallanagouda Nandihalli |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 711 S Health Pkwy, Three Rivers, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447232418 | NPI | - | NPPES |
3146760 10 | Medicaid | MI | |
4459984 10 | Medicaid | MI | |
700G560080 | Other | MI | BCBS GROUP |
4459993 10 | Medicaid | MI | |
4892292 10 | Medicaid | MI | |
1107500091 | Other | MI | BCBS PIN |
4258500 10 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301040630 (Michigan) | Primary |
Entity Name | Michigan Emergency Physicians, Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205075074 PECOS PAC ID: 7810045127 Enrollment ID: O20090424000283 |
Mailing Address | Practice Location Address |
---|---|
Kallanagouda Nandihalli, MD 701 S Health Pkwy, Medical Staff Office, Three Rivers, MI 49093-8352 Ph: (269) 273-9789 | Kallanagouda Nandihalli, MD 711 S Health Pkwy, Suite 4, Three Rivers, MI 49093-9387 Ph: (269) 273-8557 |
Dr. Jose Ricardo Po, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 711 S Health Pkwy, Three Rivers, MI 49093 Phone: 269-278-1145 | |
Dr. Chandrashekhar Virupannavar, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 721 S Health Pkwy, Three Rivers, MI 49093 Phone: 269-278-1145 Fax: 269-273-9611 | |
Dr. Muhammad S. Ahmed, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 S Health Pkwy, Three Rivers, MI 49093 Phone: 269-278-1145 | |
Douglas Dale Van Marel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 711 S Health Parkway, Three Rivers, MI 49093 Phone: 269-273-8557 Fax: 269-279-6461 | |
Dr. Veera Jayantilal Patel, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1021 Hill St, Suite 100, Three Rivers, MI 49093 Phone: 269-273-8511 Fax: 269-273-7413 | |
Zainalabdeen Akbar, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 701 S Health Parkway, Three Rivers, MI 49093 Phone: 269-278-1145 |