Sudhakar Ancha, Md | |
2216 E 32nd Street Ste 103 Joplin MO 64804 | |
(417) 623-5250 | |
(417) 623-8302 |
Full Name | Sudhakar Ancha, Md |
---|---|
Speciality | Internal Medicine |
Location | 2216 E 32nd Street, Joplin, Missouri |
Authorized Official Name and Position | Sudhakar Ancha (OWNER) |
Authorized Official Contact | 4176235250 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Sudhakar Ancha, Md 2216 E 32nd Street Ste 103 Joplin MO 64804 Ph: (417) 623-5250 | Sudhakar Ancha, Md 2216 E 32nd Street Ste 103 Joplin MO 64804 Ph: (417) 623-5250 |
NPI Number | 1295985968 |
---|---|
Provider Enumeration Date | 09/30/2008 |
Last Update Date | 04/24/2014 |
Medicare PECOS PAC ID | 8224106273 |
---|---|
Medicare Enrollment ID | O20081004000070 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295985968 | NPI | - | NPPES |
000093116 | Other | MO | MEDICARE P10 |
1346395852 | Other | MO | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 2005009627 (Missouri) | Primary |
Provider Name | Sudhakar Ancha |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1346395852 PECOS PAC ID: 2961446240 Enrollment ID: I20050617000028 |
Joplin Mo Caregiving Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1412 S Joplin Ave, Joplin, MO 64801 Phone: 417-392-0913 | |
Family Health Center Of Joplin Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2504 S Jackson Ave, Joplin, MO 64804 Phone: 417-624-4060 Fax: 417-624-6131 | |
Healthsource Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 E 32nd St Ste 5, Joplin, MO 64804 Phone: 417-623-8187 Fax: 417-623-9011 | |
Joplin Urgent Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 N Range Line, Suite 100, Joplin, MO 64801 Phone: 417-782-4300 Fax: 417-782-5870 | |
Cornerstone Medical, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2613 S Main St Ste D, Joplin, MO 64804 Phone: 417-624-8730 | |
Thomas K Hamilton, Do P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2807 Arizona Ave, Suite 2, Joplin, MO 64804 Phone: 417-781-6722 | |
Physicians Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Mcclelland Blvd, Bldg. B Ste. 216, Joplin, MO 64804 Phone: 417-627-9600 Fax: 417-627-9632 |