Praveen Kandula, MD | |
751 N Rutledge St, Ste 1100, Springfield, IL 62702-4909 | |
(217) 545-0182 | |
(217) 545-4735 |
Full Name | Praveen Kandula |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 26 Years |
Location | 751 N Rutledge St, Springfield, Illinois |
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 |
---|---|---|---|
1912982919 | NPI | - | NPPES |
036113938 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036-113938 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Barnabas Medical Center | Livingston, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Barnabas Health Medical Group Pc | 9537316955 | 567 |
Entity Name | Saint Barnabas Multi Specialty |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780632992 PECOS PAC ID: 3072500727 Enrollment ID: O20040427000024 |
Entity Name | Barnabas Health Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841557246 PECOS PAC ID: 9537316955 Enrollment ID: O20120820000951 |
Entity Name | Sbmc Provider Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942748983 PECOS PAC ID: 8729344569 Enrollment ID: O20171109003416 |
Mailing Address | Practice Location Address |
---|---|
Praveen Kandula, MD Po Box 19636, Springfield, IL 62794-9636 Ph: (217) 545-0182 | Praveen Kandula, MD 751 N Rutledge St, Ste 1100, Springfield, IL 62702-4909 Ph: (217) 545-0182 |
Zachariah Gurnsey, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 751 N Rutledge St, Ste 1100, Springfield, IL 62702 Phone: 217-545-0182 Fax: 217-545-8156 | |
Fadel Ahmed Bofarrag, MD, MPH Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St Ste D434, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-7063 | |
Winston J Townsend, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1836 S Macarthur Blvd, Springfield, IL 62704 Phone: 217-789-1403 Fax: 217-789-1825 | |
William R Yu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2901 Old Jacksonville Rd, Springfield, IL 62704 Phone: 217-698-9722 Fax: 217-698-8012 | |
Dr. Susan M. O'neal, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-528-7541 | |
Dr. Mukul Bhattarai, MD. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 747 N Rutledge St Fl 4, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-7877 | |
Nathalie Emma-marie Foray, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 751 N Rutledge St Ste 1700, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-1229 |