Kishore Nallu, MD | |
730 W Market St Ste 2k, Lima, OH 45801-4602 | |
(419) 996-5852 | |
(419) 996-5854 |
Full Name | Kishore Nallu |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 14 Years |
Location | 730 W Market St Ste 2k, Lima, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568709657 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 53627 (Connecticut) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | 35131382 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Health-st Rita's Medical Center | Lima, OH | Hospital |
Grand Lake Health System | Saint marys, OH | Hospital |
Mary Rutan Hospital | Bellefontaine, OH | Hospital |
Mercy Health - Tiffin Hospital | Tiffin, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Health Physicians Lima Specialty Care Llc | 7012332364 | 200 |
Entity Name | Mercy Health-st Ritas Medical Center Llc |
---|---|
Entity Type | Part B Supplier - Intensive Cardiac Rehabilitation |
Entity Identifiers | NPI Number: 1811939887 PECOS PAC ID: 2769386259 Enrollment ID: O20180823003687 |
Entity Name | Mercy Health Physicians Lima Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518589803 PECOS PAC ID: 7012332364 Enrollment ID: O20200803002433 |
Mailing Address | Practice Location Address |
---|---|
Kishore Nallu, MD Po Box 636930, Cincinnati, OH 45263-6930 Ph: () - | Kishore Nallu, MD 730 W Market St Ste 2k, Lima, OH 45801-4602 Ph: (419) 996-5852 |
Deena M Hassuna, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 825 W Market St Ste 260, Lima, OH 45805 Phone: 199-964-0034 Fax: 419-996-5276 | |
Mr. Tariq I Sheikh, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2793 Shawnee Rd, Lima, OH 45806 Phone: 419-227-8209 Fax: 419-222-6007 | |
Nathaniel Eric Quinn, MD, MPH, CPH Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-226-9301 | |
Dr. Eliyazar Gaddam, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 951 Commerce Pkwy, Suite 100, Lima, OH 45804 Phone: 419-224-5915 Fax: 419-224-5918 | |
Pratap Balusu, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 750 W High St, Ste 250, Lima, OH 45801 Phone: 419-227-7399 Fax: 419-229-0123 | |
Mr. Charles W Brunelle, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 375 N Eastown Rd, Lima, OH 45807 Phone: 419-228-3500 Fax: 419-228-6700 | |
Norman Otis Moser, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 750 W High St, Suite 150, Lima, OH 45801 Phone: 419-227-1359 Fax: 419-227-7586 |