Swapna Gayathri Kallu, MD | |
2647 S Saint Elizabeth Blvd Ste 219, Gonzales, LA 70737-5020 | |
(225) 765-5500 | |
(225) 743-2620 |
Full Name | Swapna Gayathri Kallu |
---|---|
Gender | Female |
Speciality | Nephrology |
Experience | 18 Years |
Location | 2647 S Saint Elizabeth Blvd Ste 219, Gonzales, Louisiana |
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 |
---|---|---|---|
1063772234 | NPI | - | NPPES |
2333097 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 22194 (Mississippi) | Secondary |
207R00000X | Internal Medicine | 206172 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Soco Dialysis | Franklin, VA | Dialysis facility |
Southampton Memorial Hospital | Franklin, VA | Hospital |
Southside Regional Medical Center | Petersburg, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bon Secours Medical Group Hampton Roads Specialty Care Llc | 3173955671 | 137 |
Colonial Kidneycare Specialists, Pc | 7315252442 | 4 |
Entity Name | Colonial Kidneycare Specialists, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528451671 PECOS PAC ID: 7315252442 Enrollment ID: O20150818004783 |
Entity Name | Bon Secours Medical Group Hampton Roads Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629637475 PECOS PAC ID: 3173955671 Enrollment ID: O20191122000258 |
Mailing Address | Practice Location Address |
---|---|
Swapna Gayathri Kallu, MD 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 765-5727 | Swapna Gayathri Kallu, MD 2647 S Saint Elizabeth Blvd Ste 219, Gonzales, LA 70737-5020 Ph: (225) 765-5500 |
Mydhili Kanumilli, M.D Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737 Phone: 225-647-8511 Fax: 225-644-5213 | |
Niksad Abraham, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2647 S Saint Elizabeth Blvd Ste 300, Gonzales, LA 70737 Phone: 225-767-3900 Fax: 225-766-2226 | |
Mason Wade Rau, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2647 S Saint Elizabeth Blvd Ste 219, Gonzales, LA 70737 Phone: 225-647-8511 Fax: 225-644-8358 | |
Dr. Gretchen Marie Yandle, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737 Phone: 225-647-8511 Fax: 225-644-5213 | |
Dr. Rahil Devendra Shah, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1014 Saint Clair Blvd Ste 3030, Gonzales, LA 70737 Phone: 225-765-5500 Fax: 225-743-2546 | |
Dr. Carlos R Vazquez, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2211 S Burnside Ave, Ste 4, Gonzales, LA 70737 Phone: 225-647-1947 |