Madhu K Kolli, MD | |
828 Healthy Way Ste 270, Virginia Beach, VA 23462-7959 | |
(757) 623-0005 | |
(757) 389-5383 |
Full Name | Madhu K Kolli |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 27 Years |
Location | 828 Healthy Way Ste 270, Virginia Beach, Virginia |
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 |
---|---|---|---|
1114900552 | NPI | - | NPPES |
103251 | Other | VA | BLUE CROSS BLUE SHEILD |
005875889 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0101232981 (Virginia) | Secondary |
207RN0300X | Internal Medicine - Nephrology | 0101232981 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Davita - Virginia Beach | Virginia beach, VA | Dialysis facility |
Stines Dialysis Llc | Virginia beach, VA | Dialysis facility |
Sentara Princess Anne Hospital | Virginia beach, VA | Hospital |
Sentara Virginia Beach General Hospital | Virginia beach, VA | Hospital |
Chesapeake Regional Medical Center | Chesapeake, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tidewater Kidney Specialists Inc | 6507852662 | 21 |
Entity Name | Tidewater Kidney Specialists Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780624627 PECOS PAC ID: 6507852662 Enrollment ID: O20040519001509 |
Mailing Address | Practice Location Address |
---|---|
Madhu K Kolli, MD 4445 Corporation Ln Ste 100, Virginia Beach, VA 23462-3666 Ph: (757) 623-0005 | Madhu K Kolli, MD 828 Healthy Way Ste 270, Virginia Beach, VA 23462-7959 Ph: (757) 623-0005 |
Haidr Agha, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1157 First Colonial Rd, Ste 200, Virginia Beach, VA 23454 Phone: 757-623-0005 Fax: 757-389-5383 | |
Howard Courtenay Harrison Sr., MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1101 First Colonial Rd, Suite 101, Virginia Beach, VA 23454 Phone: 757-496-9020 Fax: 757-481-0638 | |
Vincent Lee, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 5516 Virginia Beach Blvd, Virginia Beach, VA 23462 Phone: 757-473-3969 | |
Dr. Sue Beth Hudson, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 802 Newtown Rd, Virginia Beach, VA 23462 Phone: 757-497-0606 Fax: 757-497-0411 | |
Dr. Rosario Devera Hipol, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 701 Independence Cir Ste 102, Virginia Beach, VA 23455 Phone: 757-499-6395 Fax: 757-499-8026 | |
Dr. Jonah Anyaogu Ulu Ezieme, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1060 First Colonial Rd, Virginia Beach, VA 23454 Phone: 757-395-2323 Fax: 757-827-2255 | |
Dr. James Richard Miller, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1101 First Colonial Rd Ste 300, Virginia Beach, VA 23454 Phone: 757-395-1760 Fax: 757-756-5148 |