Krishnakanthan Sasankan, MD | |
1600 Sw Archer Rd, Gainesville, FL 32610-5102 | |
(352) 265-0111 | |
Not Available |
Full Name | Krishnakanthan Sasankan |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1600 Sw Archer Rd, Gainesville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649269689 | NPI | - | NPPES |
000523039005 | Other | NY | BC/BS |
00010157703 | Other | NY | UNIVERA |
01439409 | Medicaid | NY | |
040426002481 | Other | NY | FIDELIS |
1209766 | Other | NY | IHA |
143850DL | Other | NY | PREFERRED CARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 193354 (New York) | Secondary |
208000000X | Pediatrics | ME161851 (Florida) | Primary |
Entity Name | Sisters Of Charity Hospital Of Buffalo New York |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790727543 PECOS PAC ID: 6204749153 Enrollment ID: O20031126000557 |
Entity Name | Mercy Hospital Of Buffalo |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164464921 PECOS PAC ID: 8729991666 Enrollment ID: O20040702001253 |
Mailing Address | Practice Location Address |
---|---|
Krishnakanthan Sasankan, MD Po Box 100296, Gainesville, FL 32610-3003 Ph: (352) 627-9350 | Krishnakanthan Sasankan, MD 1600 Sw Archer Rd, Gainesville, FL 32610-5102 Ph: (352) 265-0111 |
Dr. Bahareh Ebadifar Keith, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-0462 Fax: 352-273-6250 | |
Jose Maria Cardenas Fimbres, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd Fl 32610, Gainesville, FL 32610 Phone: 915-803-1159 | |
Stephen Smyth Beebe, MD FACP Pediatrics Medicare: Medicare Enrolled Practice Location: 6440 W Newberry Rd, #402, Gainesville, FL 32605 Phone: 352-333-5500 Fax: 352-333-5506 | |
Kristin Alexandra Dayton, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-9001 | |
Neel Kamal Singh, Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-9011 | |
Donald J Fillipps, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0451 Fax: 352-392-9802 | |
Sarah Tatum Ritchie, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32601 Phone: 352-273-5400 Fax: 352-273-5260 |