Mr Chandra B Dommaraju, MD | |
1400 Us Highway 61 Ste 260, Festus, MO 63028-4101 | |
(636) 933-2344 | |
(636) 937-9031 |
Full Name | Mr Chandra B Dommaraju |
---|---|
Gender | Male |
Speciality | Infectious Disease |
Experience | 36 Years |
Location | 1400 Us Highway 61 Ste 260, Festus, Missouri |
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 |
---|---|---|---|
1255361135 | NPI | - | NPPES |
205115322 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | MO106962 (Missouri) | Secondary |
207RI0200X | Internal Medicine - Infectious Disease | 106962 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital Jefferson | Festus, MO | Hospital |
Entity Name | Ste Genevieve County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730238551 PECOS PAC ID: 3274432802 Enrollment ID: O20040310001286 |
Entity Name | Ste Genevieve County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801817416 PECOS PAC ID: 3274432802 Enrollment ID: O20040617000089 |
Entity Name | Id Consultants, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023113438 PECOS PAC ID: 6608876024 Enrollment ID: O20070109000582 |
Entity Name | St Francois County Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417921420 PECOS PAC ID: 4183604143 Enrollment ID: O20071127000349 |
Mailing Address | Practice Location Address |
---|---|
Mr Chandra B Dommaraju, MD 1400 Us Highway 61 Ste 260, Festus, MO 63028-4101 Ph: (636) 933-2344 | Mr Chandra B Dommaraju, MD 1400 Us Highway 61 Ste 260, Festus, MO 63028-4101 Ph: (636) 933-2344 |
Holly Ackermann, FNP Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1153 E Gannon Dr, Festus, MO 63028 Phone: 636-282-0380 Fax: 636-282-0384 | |
Karthik Iyer, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1400 Us Highway 61, Festus, MO 63028 Phone: 636-933-5337 | |
Joanne M Waltman, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1500 Calvary Church Rd, Festus, MO 63028 Phone: 636-933-2900 Fax: 636-933-8017 | |
Dr. Manzoor Ahmad Tariq, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1071 Airport Road, Festus, MO 63028 Phone: 636-931-7111 Fax: 636-937-7486 | |
Amit J Shah, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 1500 Calvary Church Rd, Festus, MO 63028 Phone: 636-933-2900 | |
Amanda E Avellone, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1455 Us Highway 61, Festus, MO 63028 Phone: 636-937-3121 Fax: 636-937-4423 | |
Jooho Peter Kim, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 1400 Us Highway 61 # H1521, Festus, MO 63028 Phone: 636-933-5337 Fax: 636-933-8090 |