| Shravan Reddy Chintalapani, MD | |
|
4802 E Johnson Ave, Jonesboro, AR 72405-8413 | |
| (870) 936-8000 | |
| (870) 934-3629 |
| Full Name | Shravan Reddy Chintalapani |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 4802 E Johnson Ave, Jonesboro, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215431184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | E-16717 (Arkansas) | Primary |
| Entity Name | Northeast Arkansas Clinic Charitable Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861721839 PECOS PAC ID: 2961547526 Enrollment ID: O20100315000190 |
| Mailing Address | Practice Location Address |
|---|---|
| Shravan Reddy Chintalapani, MD Po Box 1960, Jonesboro, AR 72403-1960 Ph: (870) 936-8000 | Shravan Reddy Chintalapani, MD 4802 E Johnson Ave, Jonesboro, AR 72405-8413 Ph: (870) 936-8000 |
Mr. Syed Safder Abbas Hasan, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 800 S Main St, Jonesboro, AR 72401 Phone: 870-932-7024 | |
Dr. Jennifer M Dicocco, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1005 E Matthews Ave, Jonesboro, AR 72401 Phone: 870-935-1242 | |
Mr. Joseph Wesley Hurston Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4802 E Johnson Ave, Jonesboro, AR 72401 Phone: 870-936-8000 Fax: 870-936-3629 | |
Alice M Cherqui, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 800 S Church St Ste 201, Jonesboro, AR 72401 Phone: 870-934-1462 Fax: 870-934-1456 | |
Mr. David L. Phillips, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4802e Johnson Ave, Jonesboro, AR 72401 Phone: 870-936-8000 Fax: 870-934-3629 | |
Dr. Jonathan Louis Altomar, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1005 E Matthews Ave, Jonesboro, AR 72401 Phone: 870-935-1242 Fax: 870-932-6809 |