| Dr Govardhana Roa Korrapati, MD | |
|
301 Perry St, Fostoria, OH 44830-2149 | |
| (419) 435-9241 | |
| Not Available |
| Full Name | Dr Govardhana Roa Korrapati |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 301 Perry St, Fostoria, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962494583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35046069 (Ohio) | Primary |
| Entity Name | Mercy Health - Tiffin Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215951645 PECOS PAC ID: 2466343769 Enrollment ID: O20040324001028 |
| Entity Name | Mercy Health Physicians-north Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609000769 PECOS PAC ID: 2668522400 Enrollment ID: O20090616000750 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Govardhana Roa Korrapati, MD 301 Perry St, Fostoria, OH 44830-2149 Ph: (419) 435-9241 | Dr Govardhana Roa Korrapati, MD 301 Perry St, Fostoria, OH 44830-2149 Ph: (419) 435-9241 |
Komal Masood, M.D Internal Medicine Medicare: Medicare Enrolled Practice Location: 502 Van Buren St, Fostoria, OH 44830 Phone: 419-334-3869 | |
Dr. Asish K Basu, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 501 Van Buren St, Suite 206, Fostoria, OH 44830 Phone: 419-435-7734 Fax: 419-437-6623 |