Dr George C Koppuzha, MD | |
2091 Tamiami Trl, Ste B, Port Charlotte, FL 33948-2112 | |
(941) 625-9494 | |
(941) 743-8562 |
Full Name | Dr George C Koppuzha |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 38 Years |
Location | 2091 Tamiami Trl, Port Charlotte, Florida |
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 |
---|---|---|---|
1982648101 | NPI | - | NPPES |
255240000 | Medicaid | FL | |
44529 | Other | FL | BLUE CROSS & BLUE SHIELD |
279368 | Other | WELLCARE | |
AK532 | Other | FL | MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME0074583 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Nurse On Call | Fort myers, FL | Home health agency |
Amedisys Home Health | Port charlotte, FL | Home health agency |
Fawcett Memorial Hospital | Port charlotte, FL | Hospital |
Bayfront Health Port Charlotte | Port charlotte, FL | Hospital |
Entity Name | Charlotte Internal Medicine Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851320923 PECOS PAC ID: 7012089824 Enrollment ID: O20080710000272 |
Mailing Address | Practice Location Address |
---|---|
Dr George C Koppuzha, MD 2091 Tamiami Trl, Ste B, Port Charlotte, FL 33948-2112 Ph: (941) 624-2787 | Dr George C Koppuzha, MD 2091 Tamiami Trl, Ste B, Port Charlotte, FL 33948-2112 Ph: (941) 625-9494 |
Jaideep Hingorani, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3300 Tamiami Trl, #101a, Port Charlotte, FL 33952 Phone: 941-629-4676 Fax: 941-629-1522 | |
Anna Berenstein, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3390 Tamiami Trl, Suite 204, Port Charlotte, FL 33952 Phone: 941-391-5496 Fax: 941-875-9875 | |
Dr. Chitradeep De, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3028 Caring Way Unit 4, Port Charlotte, FL 33952 Phone: 941-212-2748 Fax: 941-328-8946 | |
Dr. Louis Damian, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3300 Tamiami Trl Ste 101a, Port Charlotte, FL 33952 Phone: 941-629-4676 | |
Velamakanni Krishnamurty, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 22655 Bayshore Rd, Suite 110, Port Charlotte, FL 33980 Phone: 941-629-7092 Fax: 941-629-1111 | |
Dr. Tanweer A Memon, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2091 Tamiami Trl, Port Charlotte, FL 33948 Phone: 941-625-9494 Fax: 941-743-8562 | |
Ebrahim Papan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2450 Tamiami Trl, Ste A, Port Charlotte, FL 33952 Phone: 941-624-2704 Fax: 941-627-6066 |