Ravishankar S Konchada, MD | |
5495 S Rainbow Blvd Ste 101, Las Vegas, NV 89118-1872 | |
(702) 477-0772 | |
(702) 477-0486 |
Full Name | Ravishankar S Konchada |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 31 Years |
Location | 5495 S Rainbow Blvd Ste 101, Las Vegas, Nevada |
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 |
---|---|---|---|
1053365437 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 48477 (Minnesota) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 15389 (Nevada) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Rose Dominican Hospitals - Siena Campus | Henderson, NV | Hospital |
Saint Rose Dominican Hospitals - San Martin Campus | Las vegas, NV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pueblo Medical Imaging, Llc | 2264328319 | 12 |
J Paul Wiesner And Associates Chartered | 4880679976 | 15 |
Entity Name | Pueblo Medical Imaging, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952353591 PECOS PAC ID: 2264328319 Enrollment ID: O20040225000547 |
Entity Name | J Paul Wiesner & Associates Chartered |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487606026 PECOS PAC ID: 4880679976 Enrollment ID: O20040622001538 |
Mailing Address | Practice Location Address |
---|---|
Ravishankar S Konchada, MD Po Box 30077, Salt Lake City, UT 84130-0077 Ph: (702) 477-0772 | Ravishankar S Konchada, MD 5495 S Rainbow Blvd Ste 101, Las Vegas, NV 89118-1872 Ph: (702) 477-0772 |
Dr. Douglas Glen Larson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2020 Palomino Ln, #100, Las Vegas, NV 89106 Phone: 702-759-8600 | |
Saravanan Valliappan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5495 S Rainbow Blvd Ste 101, Las Vegas, NV 89118 Phone: 702-477-0772 | |
Ho Viet Nguyen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2950 S Maryland Pkwy, Las Vegas, NV 89109 Phone: 702-240-1215 Fax: 702-243-7531 | |
Gorden Chu, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2950 S Maryland Pkwy, Las Vegas, NV 89109 Phone: 702-732-6000 Fax: 702-243-7531 | |
Nader Beheshti, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5495 S Rainbow Blvd Ste 101, Las Vegas, NV 89118 Phone: 702-477-0772 | |
Joshua Rosenberg, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 2020 Palomino Lane, Ste # 100, Las Vegas, NV 89106 Phone: 702-759-8600 Fax: 702-384-1815 | |
Skyler Wayne Greene, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2950 S Maryland Pkwy, Las Vegas, NV 89109 Phone: 702-732-6000 |