Prathik Kolluru, MD | |
1600 E Broadway, Columbia, MO 65201-5844 | |
(573) 815-8000 | |
(573) 815-8040 |
Full Name | Prathik Kolluru |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 10 Years |
Location | 1600 E Broadway, Columbia, 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 |
---|---|---|---|
1245612175 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 2024010147 (Missouri) | Primary |
207R00000X | Internal Medicine | 2024010147 (Missouri) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
University Health System | San antonio, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Texas Health Science Center At San Antonio | 0042128548 | 1070 |
Entity Name | University Of Texas Health Science Center At San Antonio |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720051717 PECOS PAC ID: 0042128548 Enrollment ID: O20040607000664 |
Mailing Address | Practice Location Address |
---|---|
Prathik Kolluru, MD 1600 E Broadway, Columbia, MO 65201-5844 Ph: (573) 815-8000 | Prathik Kolluru, MD 1600 E Broadway, Columbia, MO 65201-5844 Ph: (573) 815-8000 |
Jason Shawn Ogden, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 800 Hospital Dr, Columbia, MO 65201 Phone: 573-814-6000 | |
Dr. Peter James Nilsson, DO Hospitalist Medicare: Medicare Enrolled Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-884-9066 Fax: 573-884-3037 | |
Ethan Scott Anderson, DO Hospitalist Medicare: Medicare Enrolled Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-884-9066 Fax: 573-884-3037 | |
Mr. Christopher Thomas Boyer, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-884-9066 Fax: 573-884-3037 | |
Dr. Christopher Reid Mandler, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-0808 | |
Dr. Monika Kulasekaran, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-884-7561 |