Karthik Kailasam, MD | |
1400 South Dobson Road, Attn: Bmg Hospitalist Team / Amanda Gump, Mesa, AZ 85202 | |
(480) 412-6788 | |
(480) 412-6848 |
Full Name | Karthik Kailasam |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 10 Years |
Location | 1400 South Dobson Road, Mesa, 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 |
---|---|---|---|
1083097356 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301107282 (Michigan) | Secondary |
207R00000X | Internal Medicine | 35.133669 (Ohio) | Secondary |
208M00000X | Hospitalist | 62158 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Banner Desert Medical Center | Mesa, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bhsm Rehabilitation Llc | 2062773138 | 1355 |
Banner Hospital Based Physicians Arizona Llc | 3274782487 | 405 |
Entity Name | Banner Hospital Based Physicians Arizona Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275889891 PECOS PAC ID: 3274782487 Enrollment ID: O20121003000752 |
Mailing Address | Practice Location Address |
---|---|
Karthik Kailasam, MD 1400 South Dobson Road, Attn: Bmg Hospitalist Team / Amanda Gump, Mesa, AZ 85202 Ph: (480) 412-6788 | Karthik Kailasam, MD 1400 South Dobson Road, Attn: Bmg Hospitalist Team / Amanda Gump, Mesa, AZ 85202 Ph: (480) 412-6788 |
Gregg Alan Smith, D.O. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 1042 N Higley Rd, Suite 102-602, Mesa, AZ 85205 Phone: 480-242-6297 Fax: 480-699-3129 | |
Dr. Fayz Yar Khan, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 10238 E Hampton Ave, Mesa, AZ 85209 Phone: 480-354-6463 | |
Dr. Marwan Mohammed Oleiwi, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 6644 E Baywood Ave, Banner Baywood Medical Center, Mesa, AZ 85206 Phone: 480-321-3900 Fax: 480-321-3840 | |
Dr. Pawan A Dhawan, MBBS Hospitalist Medicare: Medicare Enrolled Practice Location: Bdmc/attn: Bmg Hospitalists, 1400 S Dobson Road, Mesa, AZ 85202 Phone: 480-412-6788 Fax: 480-412-6848 | |
Dr. Katelyn Rheault, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 6644 E Baywood Ave, Mesa, AZ 85206 Phone: 602-839-3644 | |
Dr. Lloyd Centino, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: Banner Desert Medical Center Attn Hospitalist, 1400 S Dobson Rd, Mesa, AZ 85202 Phone: 480-412-6788 Fax: 480-412-6848 | |
Dr. Ritesh Kanotra, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 6644 E Baywood Ave, Banner Baywood Medical Center, Mesa, AZ 85206 Phone: 480-321-3900 Fax: 480-321-3840 |