| Annapurna Pattisapu, MD | |
|
3464 Avalon Park East Blvd, Orlando, FL 32828-7363 | |
| (407) 635-3021 | |
| (321) 203-4608 |
| Full Name | Annapurna Pattisapu |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 3464 Avalon Park East Blvd, Orlando, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972615599 | NPI | - | NPPES |
| 0576867005 | Medicaid | FL | |
| 4210891 | Other | FL | AETNA |
| 11569 | Other | FL | BLUE CROSS & BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0058005 (Florida) | Primary |
| Entity Name | Physician Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336137280 PECOS PAC ID: 0244135093 Enrollment ID: O20031204000591 |
| Entity Name | Primary Care Specialists Of Orlando Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740559939 PECOS PAC ID: 9830353317 Enrollment ID: O20120613000295 |
| Mailing Address | Practice Location Address |
|---|---|
| Annapurna Pattisapu, MD 235 N Westmonte Dr, Altamonte Springs, FL 32714-3345 Ph: () - | Annapurna Pattisapu, MD 3464 Avalon Park East Blvd, Orlando, FL 32828-7363 Ph: (407) 635-3021 |
Vamsi Kiran Kodumuri, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 258 S Chickasaw Trl Ste 203, Orlando, FL 32825 Phone: 407-303-6588 | |
Francoeur Cadet, D.O Internal Medicine Medicare: Medicare Enrolled Practice Location: 232 N Orange Blossom Trl, Orlando, FL 32805 Phone: 407-428-5751 Fax: 407-447-7245 | |
Andrija Vidic, D.O Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2415 N Orange Ave Ste 700, Orlando, FL 32804 Phone: 407-303-2474 Fax: 407-303-0680 | |
Albagir Mohamed Alarabi, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 E Rollins St, Orlando, FL 32803 Phone: 407-303-5600 | |
Azin Azarfar, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3400 Quadrangle Blvd, Orlando, FL 32817 Phone: 407-266-3627 Fax: 407-266-4911 | |
Dr. Amber Jane Siegel, APRN Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 1510 E Colonial Dr Ste 230, Orlando, FL 32803 Phone: 315-286-9748 Fax: 407-550-1329 | |
Zain Zamir, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2501 N Orange Ave Ste 235, Orlando, FL 32804 Phone: 407-303-7169 |