| Sathish & Radha Internal Medicine Group Ltd | |
|
38 Hospital Dr Logan WV 25601-3452 | |
| (304) 831-1299 | |
| Not Available |
| Full Name | Sathish & Radha Internal Medicine Group Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 38 Hospital Dr, Logan, West Virginia |
| Authorized Official Name and Position | Radhakrishna Kukkillaya (OWNER) |
| Authorized Official Contact | 3048311299 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sathish & Radha Internal Medicine Group Ltd Po Box 58187 Charleston WV 25358-0187 Ph: (304) 831-1299 | Sathish & Radha Internal Medicine Group Ltd 38 Hospital Dr Logan WV 25601-3452 Ph: (304) 831-1299 |
| NPI Number | 1588828651 |
|---|---|
| Provider Enumeration Date | 07/17/2008 |
| Last Update Date | 07/17/2008 |
| Medicare PECOS PAC ID | 0042378945 |
|---|---|
| Medicare Enrollment ID | O20081022000083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588828651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Radhakrishna Kukkillaya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114981156 PECOS PAC ID: 6901964816 Enrollment ID: I20081022000151 |
| Provider Name | Beth Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346934130 PECOS PAC ID: 3476916305 Enrollment ID: I20230825000466 |
Carlton L W Herald Do Pc Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 Hospital Dr, Suite 100, Logan, WV 25601 Phone: 304-831-2061 Fax: 304-831-2063 | |
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Ovp Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 557 Main St, Logan, WV 25601 Phone: 740-752-3435 Fax: 740-753-3436 | |
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