| Dr Kumar Kishore Amaraneni, MD | |
|
2375 Gause Blvd E, Slidell, LA 70461-4142 | |
| (985) 645-9000 | |
| (985) 645-0359 |
| Full Name | Dr Kumar Kishore Amaraneni |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine - Emergency Medical Services |
| Location | 2375 Gause Blvd E, Slidell, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750497269 | NPI | - | NPPES |
| 1346365 | Medicaid | LA | |
| F8683 | Other | LA | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 6512R (Louisiana) | Primary |
| Entity Name | Ochsner Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kumar Kishore Amaraneni, MD 2375 Gause Blvd E, Slidell, LA 70461-4142 Ph: (985) 645-9000 | Dr Kumar Kishore Amaraneni, MD 2375 Gause Blvd E, Slidell, LA 70461-4142 Ph: (985) 645-9000 |
Dr. Archie C Tatford, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Gause Blvd, Slidell, LA 70458 Phone: 985-649-8542 | |
Shaun Xiao, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 Robert Blvd, Slidell, LA 70458 Phone: 985-639-3777 Fax: 985-639-3708 | |
Wade Joseph Estopinal, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 985 Robert Blvd, Suite 101, Slidell, LA 70458 Phone: 985-690-8300 Fax: 985-690-8301 | |
Dr. Ernest Charles Hansen Iii, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Center Drive, Slidell, LA 70461 Phone: 985-646-5189 | |
Dr. Matthew Brian Rivenburgh, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Center Drive, Slidell, LA 70461 Phone: 985-646-5189 | |
Dr. Wayne Michael Berkowitz, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Medical Center Dr, Slidell, LA 70461 Phone: 985-646-5189 | |
Brant P Domangue, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Center Dr, Slidell, LA 70461 Phone: 985-646-5189 |