| Anupama Nutakki, MD | |
|
3048 E Baseline Rd Ste 120, Mesa, AZ 85204-7288 | |
| (480) 505-3276 | |
| (480) 505-3288 |
| Full Name | Anupama Nutakki |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 24 Years |
| Location | 3048 E Baseline Rd Ste 120, Mesa, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386605657 | NPI | - | NPPES |
| 128721 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 33663 (Arizona) | Secondary |
| 207R00000X | Internal Medicine | 33663 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Baywood Medical Center | Mesa, AZ | Hospital |
| Banner Gateway Medical Center | Gilbert, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Greater Phoenix Collaborative Care Pc | 0941503304 | 113 |
| Entity Name | 4c Medical Group Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558654384 PECOS PAC ID: 2769653641 Enrollment ID: O20110926000641 |
| Entity Name | Greater Phoenix Collaborative Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750686614 PECOS PAC ID: 0941503304 Enrollment ID: O20160120000300 |
| Mailing Address | Practice Location Address |
|---|---|
| Anupama Nutakki, MD Po Box 35380, Las Vegas, NV 89133-5380 Ph: (025) 793-2037 | Anupama Nutakki, MD 3048 E Baseline Rd Ste 120, Mesa, AZ 85204-7288 Ph: (480) 505-3276 |
Ankur Panchal, Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 6424 E Broadway Rd Ste 105, Mesa, AZ 85206 Phone: 480-733-7500 | |
Yury Fomin, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 1400 S Dobson Road, Mesa, AZ 85202 Phone: 480-412-6788 Fax: 480-412-6848 | |
Dr. Emmanuel A Bayongan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 S Dobson Rd, Mesa, AZ 85202 Phone: 480-543-2034 Fax: 480-512-6089 | |
Dr. Sanjeev Gopal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6424 E Broadway Rd, 104-105, Mesa, AZ 85206 Phone: 602-802-8700 Fax: 602-802-8799 | |
Dr. Alpesh Patel, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10238 E Hampton Ave Ste 205, Mesa, AZ 85209 Phone: 480-701-7687 | |
Mouhsen H Alhakeem, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 S Dobson Road, Attn Amanda Gump/hospitalist, Mesa, AZ 85202 Phone: 480-412-6788 Fax: 480-412-6848 | |
Dr. Bindu Jayavelu, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 S Power Rd Ste 103, Mesa, AZ 85206 Phone: 480-325-7535 Fax: 480-325-7462 |