Thummakkundu K Venugopal, MD | |
1 Webster Ave, Suite 505, Poughkeepsie, NY 12601-1361 | |
(845) 452-0555 | |
(845) 452-0550 |
Full Name | Thummakkundu K Venugopal |
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Gender | Male |
Speciality | Anesthesiology |
Location | 1 Webster Ave, Poughkeepsie, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679571194 | NPI | - | NPPES |
01431603 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | ME122154 (Florida) | Primary |
207L00000X | Anesthesiology | 186060 (New York) | Secondary |
Entity Name | Optum Medical Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321 |
Mailing Address | Practice Location Address |
---|---|
Thummakkundu K Venugopal, MD 110 S. Bedford Road., Credentialing Dept, Mount Kisco, NY 10549 Ph: (845) 452-0555 | Thummakkundu K Venugopal, MD 1 Webster Ave, Suite 505, Poughkeepsie, NY 12601-1361 Ph: (845) 452-0555 |
Dr. Michael Thomas Ingoglia, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 45 Reade Pl, Dept Of Anesthesia, Poughkeepsie, NY 12601 Phone: 845-431-5629 Fax: 703-766-9725 | |
Kalpana Modi, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1 Webster Ave Ste 505, Bedford Anesthesia Pllc, Poughkeepsie, NY 12601 Phone: 845-452-0555 Fax: 845-452-0550 | |
Mylar B. R. Rao, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 45 Reade Pl, Poughkeepsie, NY 12601 Phone: 845-431-5629 Fax: 516-945-3131 | |
Iriney Gutnikevich, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 45 Reade Pl, Poughkeepsie, NY 12601 Phone: 845-431-5629 | |
John Mascia, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 45 Reade Pl, Anesthesia Department, Poughkeepsie, NY 12601 Phone: 845-431-5629 | |
Sarah Herbst, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 45 Reade Pl, Department Of Anesthesiology, Poughkeepsie, NY 12601 Phone: 845-431-5629 | |
Robert Impastato, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 45 Reade Pl, Anesthesia Department, Poughkeepsie, NY 12601 Phone: 845-431-5629 |