Sriraj T Kanungo, MD | |
6812 State Route 162 Ste 121, Maryville, IL 62062-8586 | |
(618) 391-5690 | |
(618) 391-5691 |
Full Name | Sriraj T Kanungo |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 22 Years |
Location | 6812 State Route 162 Ste 121, Maryville, Illinois |
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 |
---|---|---|---|
1548355621 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 2005018762 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Davita - Maryville Home Dialysis | Maryville, IL | Dialysis facility |
Davita - Collinsville | Collinsville, IL | Dialysis facility |
Davita - Maryville Dialysis | Maryville, IL | Dialysis facility |
Anderson Hospital | Maryville, IL | Hospital |
Community Hospital Of Staunton | Staunton, IL | Hospital |
St Joseph's Hospital | Highland, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anderson Medical Group Llc | 5193792018 | 122 |
Entity Name | Anderson Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700807716 PECOS PAC ID: 5193792018 Enrollment ID: O20040910001137 |
Entity Name | St. Louis Nephrology And Hypertension |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174601124 PECOS PAC ID: 8325017700 Enrollment ID: O20071215000127 |
Mailing Address | Practice Location Address |
---|---|
Sriraj T Kanungo, MD 6810 State Route 162, Box 215, Maryville, IL 62062 Ph: (618) 391-6495 | Sriraj T Kanungo, MD 6812 State Route 162 Ste 121, Maryville, IL 62062-8586 Ph: (618) 391-5690 |
Mr. Eddie Lynn Paulk, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6812 State Route 162 Ste 21, Maryville, IL 62062 Phone: 618-288-5566 Fax: 618-288-4005 | |
Dr. Christopher Farrar, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-288-4095 Fax: 618-288-2984 | |
Syed M Arshad, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2227 Vadalabene Dr, Suite 100, Maryville, IL 62062 Phone: 618-288-1140 | |
Dr. Willis Ko, MD Nephrology Medicare: Medicare Enrolled Practice Location: 6810 State Route 162 Ste 102b, Maryville, IL 62062 Phone: 618-288-4076 Fax: 618-288-4215 | |
Barbara Joy Foner, MD MPH FCCP ABSM Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6812 State Rte 162 Suite 202, Maryville, IL 62062 Phone: 618-288-6844 Fax: 618-288-6852 | |
Dr. Sajid Mehmood, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-288-5711 Fax: 618-288-4088 | |
Dr. Henry Purcell, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6812 State Route 162 Ste 121, Maryville, IL 62062 Phone: 618-391-6910 |