Prasadarao Kondapalli, MD | |
15000 Madison Ave, Lakewood, OH 44107-4014 | |
(216) 227-1595 | |
(216) 227-9465 |
Full Name | Prasadarao Kondapalli |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 15000 Madison Ave, Lakewood, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336116565 | NPI | - | NPPES |
0428504 | Medicaid | OH | |
CA4511 | Other | GROUP RR MEDICARE | |
1780634279 | Other | GROUP NPI | |
D368301 | Other | GROUP IND DIAGNOSTICS MED | |
0119204 | Other | GROUP MEDICAID | |
3610861 | Other | GROUP ASC MEDICARE | |
9273172 | Other | GROUP MEDICARE | |
10794333 | Other | CAQH | |
109902 | Other | KAISER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 35042650K (Ohio) | Secondary |
207R00000X | Internal Medicine | 35042650 (Ohio) | Primary |
Entity Name | The Metrohealth System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053353896 PECOS PAC ID: 8628982949 Enrollment ID: O20031119000355 |
Entity Name | Vpa Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932386059 PECOS PAC ID: 9234041948 Enrollment ID: O20031119000596 |
Mailing Address | Practice Location Address |
---|---|
Prasadarao Kondapalli, MD 20525 Center Ridge Rd, Ste 220, Rocky River, OH 44116 Ph: (440) 895-5056 | Prasadarao Kondapalli, MD 15000 Madison Ave, Lakewood, OH 44107-4014 Ph: (216) 227-1595 |
Anita Bhalla, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15000 Madison Ave, Lakewood, OH 44107 Phone: 216-472-1404 Fax: 216-529-7806 | |
Dr. Nazih M Zein, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 14601 Detroit Ave, 590, Lakewood, OH 44107 Phone: 216-529-7098 Fax: 216-529-8689 | |
Cipriano S Beredo Jr., M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 14519 Detroit Ave, Lakewood, OH 44107 Phone: 216-521-4200 | |
Gasan Nemr, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15000 Madison Ave, Lakewood, OH 44107 Phone: 216-221-7642 Fax: 216-529-7806 | |
Mourad El-gazzar, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 15000 Madison Ave, Lakewood, OH 44107 Phone: 216-227-9964 Fax: 216-221-5473 | |
Carole M Rojas, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 14601 Detroit Ave, Ste 400, Lakewood, OH 44107 Phone: 216-226-8700 Fax: 216-221-3171 | |
Dr. Margaret Toth, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2217 Woodward Ave, Lakewood, OH 44107 Phone: 443-534-5962 |