Ravi Kotha, MD | |
Hwy 61 South, Crystal City, MO 63019 | |
(904) 805-1300 | |
(904) 805-1302 |
Full Name | Ravi Kotha |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | Hwy 61 South, Crystal City, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770526584 | NPI | - | NPPES |
426403 | Other | MO | HEALTHLINK |
208824110 | Medicaid | MO | |
222382593 | Other | MO | CHAMPUS |
P00066451 | Other | MO | RAILROAD MEDICARE |
947071631 | Other | MO | MERCY HEALTH |
124884 | Other | MO | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 2003021689 (Missouri) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ravi Kotha, MD Po Box 827431, Philadelphia, PA 19182-7431 Ph: (904) 805-1300 | Ravi Kotha, MD Hwy 61 South, Crystal City, MO 63019 Ph: (904) 805-1300 |
Robert Evens, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Hwy 61 South, Crystal City, MO 63019 Phone: 904-805-1300 Fax: 904-805-1302 | |
Dr. Rachel Brown Edwards, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1400 Us Highway 61, Crystal City, MO 63019 Phone: 636-933-1014 Fax: 636-933-1010 | |
Earl Scott, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Hwy 61 South, Crystal City, MO 63019 Phone: 904-805-1300 Fax: 904-805-1302 | |
Peter Mccarthy, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Hwy 61 South, Crystal City, MO 63019 Phone: 904-805-1300 Fax: 904-805-1302 | |
Ms. Sara M Taylor, PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1400 U.s. Hwy 61 S, Crystal City, MO 63019 Phone: 636-933-1111 | |
Brian Lenz, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Us Hwy 61 South, Crystal City, MO 63019 Phone: 636-933-1111 Fax: 636-933-1030 |