Sujatha Doddi, MD | |
550 University Blvd, Room 1501, Indianapolis, IN 46202-5149 | |
(317) 948-1310 | |
(317) 948-0503 |
Full Name | Sujatha Doddi |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 25 Years |
Location | 550 University Blvd, Indianapolis, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437418043 | NPI | - | NPPES |
201114470 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 01071111A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Banner - University Medical Center Tucson Campus | Tucson, AZ | Hospital |
Banner-university Medical Center South Campus | Tucson, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Banner -- University Medical Group | 7719899871 | 817 |
Entity Name | Banner -- University Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694 |
Entity Name | Arizona Advanced Surgical Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730746843 PECOS PAC ID: 8325371685 Enrollment ID: O20190531001792 |
Mailing Address | Practice Location Address |
---|---|
Sujatha Doddi, MD 250 N Shadeland Ave, Ste 130 Provider Enrollment, Indianapolis, IN 46219-4959 Ph: () - | Sujatha Doddi, MD 550 University Blvd, Room 1501, Indianapolis, IN 46202-5149 Ph: (317) 948-1310 |
Irene A Carrothers, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 Senate Blvd, Indianapolis, IN 46202 Phone: 317-963-8776 Fax: 317-963-5285 | |
Liam P Howley, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1001 West 10th St Opw-m200, Indiana University Department Of Medicine, Indianapolis, IN 46202 Phone: 317-630-6560 | |
Cristina Nancy Perez Chumbiauca, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-944-5000 | |
Dr. Andrew Jonathen Ortega, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 702 Rotary Cir, Indianapolis, IN 46202 Phone: 317-278-4427 | |
Lawrence John Born, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8424 Naab Rd, #3-j, Indianapolis, IN 46260 Phone: 317-872-7396 Fax: 317-879-8328 | |
Brian T Robinson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 W 10th St, Indianapolis, IN 46202 Phone: 317-630-7979 Fax: 317-630-2668 | |
Steven T Hugenberg, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-944-8660 |