Shanu Nikhil Kothari, MD | |
905 Verdae Blvd Ste 202, Greenville, SC 29607-4029 | |
(864) 676-1072 | |
Not Available |
Full Name | Shanu Nikhil Kothari |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 29 Years |
Location | 905 Verdae Blvd Ste 202, Greenville, South Carolina |
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 |
---|---|---|---|
1063418366 | NPI | - | NPPES |
830435 | Medicaid | SC | |
34104200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 38040 (Wisconsin) | Secondary |
208600000X | Surgery | 83043 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Prisma Health Greenville Memorial Hospital | Greenville, SC | Hospital |
Prisma Health Hillcrest Hospital | Simpsonville, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prisma Health University Medical Group | 8325950983 | 2206 |
Entity Name | Prisma Health University Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
Mailing Address | Practice Location Address |
---|---|
Shanu Nikhil Kothari, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Shanu Nikhil Kothari, MD 905 Verdae Blvd Ste 202, Greenville, SC 29607-4029 Ph: (864) 676-1072 |
John David Scott, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 905 Verdae Blvd Ste 202, Greenville, SC 29607 Phone: 864-676-1072 Fax: 864-522-2105 | |
Dr. Robert Vincent Madlinger, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 890 W Faris Rd Ste 580, Greenville, SC 29605 Phone: 864-455-7874 Fax: 864-455-7874 | |
Tiffany Deanna Lance, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Support Tower 3rd Floor, Greenville, SC 29605 Phone: 864-455-1435 Fax: 864-455-1320 | |
Dr. Robert Louis Ricca Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 48 Cross Park Ct, Greenville, SC 29605 Phone: 864-797-7400 | |
Ashley Vaughan, Surgery Medicare: Medicare Enrolled Practice Location: 890 W Faris Rd Ste 310, Greenville, SC 29605 Phone: 864-455-8300 Fax: 864-455-8310 | |
Paola Alexandra Rodriguez Morales, Surgery Medicare: Not Enrolled in Medicare Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-5515 |