Suhind Krishna Das Kodali, MD | |
2651 E Discovery Pkwy, Bloomington, IN 47408-9059 | |
(812) 676-4102 | |
(812) 373-4106 |
Full Name | Suhind Krishna Das Kodali |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 2651 E Discovery Pkwy, Bloomington, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730762840 | NPI | - | NPPES |
300094997 | Medicaid | IN | |
090540A23 | Other | IN | MEDICARE PTAN |
1104289588 | Other | IN | ANTHEM PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 01094293A (Indiana) | Primary |
208M00000X | Hospitalist | 4301509979 (Michigan) | Secondary |
Entity Name | Independent Hospitalist Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851820641 PECOS PAC ID: 3971874090 Enrollment ID: O20170808003906 |
Mailing Address | Practice Location Address |
---|---|
Suhind Krishna Das Kodali, MD 6816 Forestview Ct, West Bloomfield, MI 48322-4506 Ph: (248) 660-6623 | Suhind Krishna Das Kodali, MD 2651 E Discovery Pkwy, Bloomington, IN 47408-9059 Ph: (812) 676-4102 |
Wai Pok Vernon Chan, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-676-4102 Fax: 812-676-4106 | |
Dr. Kevin Edward Zawacki, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1312 W. Arch Haven Avenue, Bloomington, IN 47403 Phone: 812-676-4144 Fax: 812-339-8344 | |
Mr. Rana Zouveenoor Tariq, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1312 W Arch Haven Ave, Bloomington, IN 47403 Phone: 812-676-4144 | |
Dr. Samuel W Kimani, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-331-3400 Fax: 812-332-7265 | |
Dr. Simeon Zou, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 583 S Clarizz Blvd, Bloomington, IN 47401 Phone: 812-676-4460 Fax: 812-355-4092 | |
Shelby Renee Tipton, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-676-4106 Fax: 812-676-4102 | |
Ms. Louise Anne Owens, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 S Madison St, Bloomington, IN 47403 Phone: 812-334-3303 Fax: 812-334-0842 |