Neelakanta Kanike, MD | |
4199 Gateway Blvd, Newburgh, IN 47630-8940 | |
(812) 842-4200 | |
Not Available |
Full Name | Neelakanta Kanike |
---|---|
Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 4199 Gateway Blvd, Newburgh, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952699159 | NPI | - | NPPES |
7100613910 | Medicaid | KY | |
300028018 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01082282A (Indiana) | Secondary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 01082282A (Indiana) | Primary |
Entity Name | University Pediatricians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811920549 PECOS PAC ID: 9638070568 Enrollment ID: O20040115000125 |
Mailing Address | Practice Location Address |
---|---|
Neelakanta Kanike, MD Po Box 778912, Chicago, IL 60677-8912 Ph: (317) 777-6435 | Neelakanta Kanike, MD 4199 Gateway Blvd, Newburgh, IN 47630-8940 Ph: (812) 842-4200 |
Kenneth Herrmann, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4199 Gateway Blvd, Newburgh, IN 47630 Phone: 812-842-4280 Fax: 812-842-4580 | |
Michelle Renee Estep, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4011 Gateway Blvd, Newburgh, IN 47630 Phone: 812-842-3880 Fax: 812-842-3916 | |
Julie A Hurlock, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4111 Gateway Blvd, Newburgh, IN 47630 Phone: 812-853-5300 Fax: 812-858-4660 | |
Barry S Phillips, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4111 Gateway Blvd, Newburgh, IN 47630 Phone: 812-853-5300 Fax: 812-858-4660 | |
Rangassamy Meibalane, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4199 Gateway Blvd, Newburgh, IN 47630 Phone: 812-842-4280 Fax: 812-842-4580 | |
Maria C Ranola, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4011 Gateway Blvd, Newburgh, IN 47630 Phone: 812-450-6815 Fax: 812-450-6822 | |
Teresa L Martelli, Pediatrics Medicare: Medicare Enrolled Practice Location: 4111 Gateway Blvd, Newburgh, IN 47630 Phone: 812-853-5300 Fax: 812-858-4660 |