| Dr Chadalavada N Kishore, MD | |
|
425 Third Ave, Ste 340, Albany, GA 31701 | |
| (229) 312-9150 | |
| (229) 435-5590 |
| Full Name | Dr Chadalavada N Kishore |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 52 Years |
| Location | 425 Third Ave, Albany, 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 |
|---|---|---|---|
| 1891788741 | NPI | - | NPPES |
| 00312881A | Medicaid | GA | |
| 000312881C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 27846 (Georgia) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 027846 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Phoebe Hospice | Albany, GA | Hospice |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Phoebe Physician Group Inc | 8426112350 | 420 |
| Entity Name | Phoebe Putney Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992789721 PECOS PAC ID: 4486559549 Enrollment ID: O20031203000397 |
| Entity Name | Phoebe Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Chadalavada N Kishore, MD Po Box 84009, Columbus, GA 31908-4009 Ph: (229) 312-5800 | Dr Chadalavada N Kishore, MD 425 Third Ave, Ste 340, Albany, GA 31701 Ph: (229) 312-9150 |
Dr. Michael Walter Szpak, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 1009 N Monroe St, Albany, GA 31701 Phone: 229-883-0298 Fax: 229-438-7898 |
Robyn Mann Johnson, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 1712-a East Broad Avenue, Albany, GA 31705 Phone: 229-639-3100 Fax: 229-888-6516 |
Soraya Djadjo, Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 2336 Dawson Rd Ste 2200, Albany, GA 31707 Phone: 229-312-8878 Fax: 229-312-8743 |
Kuo-kang Fang, M. D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 522 5th Ave, Albany, GA 31701 Phone: 229-888-6811 Fax: 229-888-6812 |
Phillip Poulos, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 2202 E Oglethorpe Blvd, Albany, GA 31705 Phone: 229-431-1423 |
Daniel Adam Jones, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 425 W 3rd Ave Ste 50, Albany, GA 31701 Phone: 229-883-0717 Fax: 229-312-2265 |
Jeffrey L Bell, MD Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 1200 N Jefferson St, Albany, GA 31701 Phone: 229-888-3970 Fax: 229-889-9386 |