Ram Gautam Gorantla, MD | |
1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | |
(602) 839-2000 | |
Not Available |
Full Name | Ram Gautam Gorantla |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 9 Years |
Location | 1111 E Mcdowell Rd, Phoenix, Arizona |
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 |
---|---|---|---|
1114443918 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 7984 (Nebraska) | Secondary |
207R00000X | Internal Medicine | 64275 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Banner - University Medical Center Phoenix | Phoenix, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Banner - University Hospital Based Physicians Llc | 1052614294 | 255 |
Entity Name | Banner - University Hospital Based Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750751566 PECOS PAC ID: 1052614294 Enrollment ID: O20160122000508 |
Mailing Address | Practice Location Address |
---|---|
Ram Gautam Gorantla, MD 7710 Mercy Rd Ste 202, Omaha, NE 68124-2353 Ph: (402) 280-4392 | Ram Gautam Gorantla, MD 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 Ph: (602) 839-2000 |
Moustafa I Hazin, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W Thomas Rd, Suite 900, Phoenix, AZ 85013 Phone: 602-406-5590 Fax: 602-406-7165 | |
Dr. Ali Shaheen Al-yaqoobi, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5411 | |
Dana Archbold, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-839-2296 Fax: 602-839-2084 | |
Dr. Nilofar Najafian, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 500 W Thomas Rd Ste 480, Phoenix, AZ 85013 Phone: 602-406-5483 Fax: 602-406-5488 | |
Catalina Nicole Flores, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 350 W Thomas Rd Dept Of, Phoenix, AZ 85013 Phone: 602-406-3000 | |
Kristina Yancey, Internal Medicine Medicare: Medicare Enrolled Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-342-2000 | |
Dr. Francisco Cordova, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 29 W Edgemont Ave, Phoenix, AZ 85003 Phone: 602-263-8971 Fax: 602-263-8971 |