Mr Raju Chelluri, | |
300 Lackawanna Ave Ste 200, Scranton, PA 18503-2001 | |
(570) 342-7864 | |
Not Available |
Full Name | Mr Raju Chelluri |
---|---|
Gender | Male |
Speciality | Urology |
Location | 300 Lackawanna Ave Ste 200, Scranton, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619400397 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | MD478698 (Pennsylvania) | Primary |
Entity Name | Lehigh Valley Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
Entity Name | Temple Faculty Practice Plan Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881176949 PECOS PAC ID: 0345588711 Enrollment ID: O20190208002623 |
Mailing Address | Practice Location Address |
---|---|
Mr Raju Chelluri, 333 Cottman Ave, Philadelphia, PA 19111-2497 Ph: (215) 728-6900 | Mr Raju Chelluri, 300 Lackawanna Ave Ste 200, Scranton, PA 18503-2001 Ph: (570) 342-7864 |
Matthew Loecher, MD Urology Medicare: Medicare Enrolled Practice Location: 300 Lackawanna Ave Ste 200, Scranton, PA 18503 Phone: 570-342-7864 | |
Dr. Ira Joel Kohn, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 475 Morgan Hwy, Scranton, PA 18508 Phone: 570-703-2440 Fax: 570-703-2451 | |
Dr. J. Robert Ramey, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 475 Morgan Hwy, Scranton, PA 18508 Phone: 570-703-2440 Fax: 570-703-2451 | |
Eric Charles Rottenberg, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 300 Lackawanna Ave Ste 200, Scranton, PA 18503 Phone: 610-402-6986 Fax: 570-348-6795 | |
Dr. Brian Butler Kapp, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 475 Morgan Hwy, Scranton, PA 18508 Phone: 570-703-2440 Fax: 570-703-2415 | |
Dr. Jerald Blair Gilbert, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 475 Morgan Hwy, Scranton, PA 18508 Phone: 570-703-2440 Fax: 570-703-2451 |