Ramakrishna Thotakura, | |
1600 W 40th Ave, Pine Bluff, AR 71603-6301 | |
(870) 541-8767 | |
(870) 541-8761 |
Full Name | Ramakrishna Thotakura |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 18 Years |
Location | 1600 W 40th Ave, Pine Bluff, Arkansas |
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 |
---|---|---|---|
1588807994 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 004087 (New York) | Secondary |
208M00000X | Hospitalist | E-9536 (Arkansas) | Primary |
208M00000X | Hospitalist | 004087 (New York) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Davita - Little Rock Dialysis | Little rock, AR | Dialysis facility |
Jefferson Regional Medical Center | Pine bluff, AR | Hospital |
Uams Medical Center | Little rock, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Arkansas | 4082528955 | 1098 |
Southeast Arkansas Hospitalists Llp | 9537479605 | 12 |
Entity Name | University Of Arkansas For Medical Sciences |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588654016 PECOS PAC ID: 4082528955 Enrollment ID: O20031219000706 |
Entity Name | Southeast Arkansas Hospitalists Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912374018 PECOS PAC ID: 9537479605 Enrollment ID: O20151103000750 |
Mailing Address | Practice Location Address |
---|---|
Ramakrishna Thotakura, 3260 Millersport Hwy Apt 4, Getzville, NY 14068-1479 Ph: (716) 445-9555 | Ramakrishna Thotakura, 1600 W 40th Ave, Pine Bluff, AR 71603-6301 Ph: (870) 541-8767 |
Carla Yvonne Pumphrey, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4010 S Mulberry St, Pine Bluff, AR 71603 Phone: 870-541-6000 | |
Nathan Probst, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 1601 W 40th Ave, Pine Bluff, AR 71603 Phone: 870-541-7611 Fax: 870-541-7602 |