| Kiran Kandukurti, | |
|
325 Essjay Rd, Williamsville, NY 14221-8243 | |
| (716) 656-4878 | |
| (716) 428-2300 |
| Full Name | Kiran Kandukurti |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 25 Years |
| Location | 325 Essjay Rd, Williamsville, New York |
| 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 |
|---|---|---|---|
| 1922306273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 277761 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Liberty Rc Inc. | Dunkirk, NY | Dialysis facility |
| Jamestown Dialysis Center | Jamestown, NY | Dialysis facility |
| Upmc Chautauqua At Wca | Jamestown, NY | Hospital |
| Brooks-tlc Hospital System, Inc | Dunkirk, NY | Hospital |
| Upmc Hamot Hospital | Erie, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Great Lakes Physician Practice Pc | 6709007701 | 131 |
| Entity Name | Great Lakes Physician Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730599176 PECOS PAC ID: 6709007701 Enrollment ID: O20141016000108 |
| Mailing Address | Practice Location Address |
|---|---|
| Kiran Kandukurti, 425 Essjay Rd Ste 170, Williamsville, NY 14221-8235 Ph: (716) 630-1219 | Kiran Kandukurti, 325 Essjay Rd, Williamsville, NY 14221-8243 Ph: (716) 656-4878 |
John Daniel Picano, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 60 Maple Rd Ste 1, Williamsville, NY 14221 Phone: 716-626-5250 | |
Maria Kontos, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 325 Essjay Rd, Williamsville, NY 14221 Phone: 716-656-4463 | |
Dr. Anderson Ka Ho Lai, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1540 Maple Rd, Williamsville, NY 14221 Phone: 716-568-3514 | |
Colleen Klos, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1540 Maple Rd, Williamsville, NY 14221 Phone: 716-568-3514 | |
Dawn Patricia Hrab, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 1835 Maple Rd, Williamsville, NY 14221 Phone: 716-634-5410 Fax: 716-634-0430 | |
Cheri A Gorski-suhr, RPAC Nephrology Medicare: Accepting Medicare Assignments Practice Location: 825 Wehrle Drive, Cardiology Group Of Western New York,pc, Williamsville, NY 14221 Phone: 716-634-3243 Fax: 716-634-1930 | |
Yijun Cheng, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 295 Essjay Rd, Williamsville, NY 14221 Phone: 716-630-1048 |