Nischala Rajegowda, MD | |
1 Trillium Way, Corbin, KY 40701-8727 | |
(606) 523-8620 | |
(606) 523-8706 |
Full Name | Nischala Rajegowda |
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Gender | Female |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 1 Trillium Way, Corbin, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1497043236 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 51002 (Kentucky) | Primary |
Entity Name | Carle Health Care Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
Entity Name | Carle West Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
Mailing Address | Practice Location Address |
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Nischala Rajegowda, MD Po Box 1325, Corbin, KY 40702-1325 Ph: (606) 526-8131 | Nischala Rajegowda, MD 1 Trillium Way, Corbin, KY 40701-8727 Ph: (606) 523-8620 |
Dr. Rebekah Elise Booth, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 60 Bryan Blvd, Suite 200, Corbin, KY 40701 Phone: 606-528-9700 Fax: 606-528-8423 | |
Dr. Kendra Rachelle Gray, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 57 Summit Dr, Corbin, KY 40701 Phone: 606-528-9700 | |
Goutham Hebbalmath, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 57 Summit Dr, Corbin, KY 40701 Phone: 606-528-9700 Fax: 606-528-8423 | |
Dr. Jimmye Shannon Perkins, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2 Trillium Way, Suite 306, Corbin, KY 40701 Phone: 606-526-4070 Fax: 606-526-4072 | |
Christina Marie Butler, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 57 Summit Dr, Corbin, KY 40701 Phone: 606-528-9700 Fax: 606-528-8423 |