Robert H Vanderberg, MD | |
2600 Greenwood Rd, Shreveport, LA 71103-3908 | |
(318) 212-4000 | |
(706) 596-6704 |
Full Name | Robert H Vanderberg |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 2600 Greenwood Rd, Shreveport, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902338403 | NPI | - | NPPES |
2442759 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 3022839 (Louisiana) | Primary |
Entity Name | Norwood Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104879741 PECOS PAC ID: 8921996364 Enrollment ID: O20040308001107 |
Entity Name | Radiology Associates Of Birmingham, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093778706 PECOS PAC ID: 7214928571 Enrollment ID: O20040524001193 |
Entity Name | St Vincents Ambulatory Healthcare Network Llc |
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Entity Type | Part B Supplier - Independent Diagnostic Testing Facility (idtf) |
Entity Identifiers | NPI Number: 1588190441 PECOS PAC ID: 1355608456 Enrollment ID: O20171128001387 |
Mailing Address | Practice Location Address |
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Robert H Vanderberg, MD Po Box 3488, Tupelo, MS 38803-3488 Ph: (866) 264-3435 | Robert H Vanderberg, MD 2600 Greenwood Rd, Shreveport, LA 71103-3908 Ph: (318) 212-4000 |
Dr. Srinivas Potturi, M.D., Radiology Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411 | |
Dr. Russell Scott Anderson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Linda Angell Nall, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Department Of Radiology, Shreveport, LA 71103 Phone: 318-675-7737 Fax: 318-675-5666 | |
Joseph W Milner Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1453 E Bert Kouns Industrial Loop, Radiology, Shreveport, LA 71105 Phone: 877-243-8416 | |
Jose Alba, MD Radiology Medicare: Medicare Enrolled Practice Location: 2600 Greenwood Rd, Shreveport, LA 71103 Phone: 318-212-4550 | |
Dr. Lacy Holmes Williams, Radiology Medicare: Not Enrolled in Medicare Practice Location: 416 Travis St, Suite 1200, Shreveport, LA 71101 Phone: 318-222-7464 Fax: 318-222-7466 | |
Dr. Naveen Gunji, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 |