| Dr Anand Deviprakash Udupa, MD | |
|
4450 Calibre Xing Nw Ste 1126, Acworth, GA 30101-4104 | |
| (470) 227-8130 | |
| (470) 747-7588 |
| Full Name | Dr Anand Deviprakash Udupa |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 47 Years |
| Location | 4450 Calibre Xing Nw Ste 1126, Acworth, Georgia |
| 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 |
|---|---|---|---|
| 1043303084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 101941 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Davita - Broken Arrow | Broken arrow, OK | Dialysis facility |
| Fkc - Bristow | Bristow, OK | Dialysis facility |
| Davita - Wagoner Dialysis | Wagoner, OK | Dialysis facility |
| Fmcna - South Tulsa | Tulsa, OK | Dialysis facility |
| Saint Francis Hospital, Inc | Tulsa, OK | Hospital |
| Hillcrest Hospital South | Tulsa, OK | Hospital |
| St John Medical Center, Inc | Tulsa, OK | Hospital |
| Cherokee Nation W W Hastings Indian Hospital | Tahlequah, OK | Hospital |
| Saint Francis Hospital Muskogee | Muskogee, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tni-kso Pc | 2062464399 | 16 |
| Entity Name | Tni-kso Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215003314 PECOS PAC ID: 2062464399 Enrollment ID: O20050215000846 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anand Deviprakash Udupa, MD 4450 Calibre Xing Nw Ste 1126, Acworth, GA 30101-4104 Ph: (470) 227-8130 | Dr Anand Deviprakash Udupa, MD 4450 Calibre Xing Nw Ste 1126, Acworth, GA 30101-4104 Ph: (470) 227-8130 |
Dr. Chinedu Patrick Nweke, M.D Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4450 Calibre Xing Nw Ste 1126, Acworth, GA 30101 Phone: 470-227-8130 Fax: 470-747-7588 | |
Dr. Joshua Foromera, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4550 Cobb Parkway North Nw Ste 210b, Acworth, GA 30101 Phone: 470-267-1760 | |
Dr. Carroll G Odem, MD Nephrology Medicare: Medicare Enrolled Practice Location: 6380 Bells Ferry Rd Ste 107, Acworth, GA 30102 Phone: 404-989-7384 Fax: 855-604-0965 | |
Bhawna Khanna, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3950 Cobb Parkway Nw, Suite 601, Acworth, GA 30101 Phone: 770-874-7623 Fax: 770-874-7627 | |
Dr. May Amanukpo Robinson, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1862 Hickory Creek Ct Nw, Acworth, GA 30102 Phone: 404-579-3999 | |
Dr. Milicent Eva Young, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 4550 Cobb Parkway North Nw Ste 201a, Acworth, GA 30101 Phone: 770-974-4655 Fax: 770-974-7534 |