Mr Srikanth Reddy Maddika, MD | |
4422 3rd Ave Dept Of, Bronx, NY 10457-2545 | |
(718) 960-6205 | |
Not Available |
Full Name | Mr Srikanth Reddy Maddika |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 16 Years |
Location | 4422 3rd Ave Dept Of, Bronx, New York |
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 |
---|---|---|---|
1033528690 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 125065586 (Illinois) | Secondary |
207R00000X | Internal Medicine | 290279 (New York) | Secondary |
208M00000X | Hospitalist | 89947 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Spalding Regional Hospital | Griffin, GA | Hospital |
Wellstar Kennestone Hospital | Marietta, GA | Hospital |
Wellstar North Fulton Hospital | Roswell, GA | Hospital |
Wellstar Cobb Hospital | Austell, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wellstar Medical Group, Llc | 6709065402 | 1839 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
---|---|
Mr Srikanth Reddy Maddika, MD 601 S 8th St, Griffin, GA 30224-4213 Ph: (770) 467-6314 | Mr Srikanth Reddy Maddika, MD 4422 3rd Ave Dept Of, Bronx, NY 10457-2545 Ph: (718) 960-6205 |
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