Ketevan Gvalia, M D | |
1800 Mulberry St, Scranton, PA 18510-2369 | |
(570) 703-7351 | |
(570) 703-7801 |
Full Name | Ketevan Gvalia |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 38 Years |
Location | 1800 Mulberry St, Scranton, Pennsylvania |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255774527 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | TMD005308 (Pennsylvania) | Secondary |
208M00000X | Hospitalist | 01079486A (Indiana) | Secondary |
207R00000X | Internal Medicine | 01079486A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Indiana University Health Arnett Hospital | Lafayette, IN | Hospital |
Indiana University Health | Indianapolis, IN | Hospital |
Indiana University Health White Memorial Hospital | Monticello, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Arnett Clinic Llc | 0749184380 | 382 |
Entity Name | Arnett Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119 |
Entity Name | Baptist Health Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508269200 PECOS PAC ID: 5597867184 Enrollment ID: O20090527000129 |
Entity Name | Northwest Hospitalist Physicians, Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023448321 PECOS PAC ID: 0244397693 Enrollment ID: O20140205000078 |
Mailing Address | Practice Location Address |
---|---|
Ketevan Gvalia, M D 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Ketevan Gvalia, M D 1800 Mulberry St, Scranton, PA 18510-2369 Ph: (570) 703-7351 |
Dr. Ivan Cvorovic, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 S Washington Ave Ste 1000, Scranton, PA 18505 Phone: 570-343-2383 | |
Ritu Khurana, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-703-7351 Fax: 570-703-7801 | |
Dr. Titilayo O Osuntokun, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 959 Wyoming Ave, Scranton, PA 18509 Phone: 570-344-3517 Fax: 570-344-6839 | |
Nalini G Kakimallaiah, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Quincy Ave, Hospitalist Office, Scranton, PA 18510 Phone: 866-519-0457 Fax: 570-770-5263 | |
Dr. Joseph Frank Leo, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 531 Mt Pleasant Dr, Scranton, PA 18503 Phone: 570-342-8500 Fax: 570-558-2290 | |
Fouzia Oza, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 700 Quincy Ave, Scranton, PA 18510 Phone: 570-770-5000 | |
John P Lundin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 746 Jefferson Ave, Suite 305, Scranton, PA 18510 Phone: 570-342-1776 Fax: 570-963-0663 |