| Dr Mallikarjuna Nallegowda, MD, DNB, MNAMS | |
|
3676 Parker Blvd Ste 230, Pueblo, CO 81008-2213 | |
| (719) 553-2200 | |
| (833) 916-2049 |
| Full Name | Dr Mallikarjuna Nallegowda |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 24 Years |
| Location | 3676 Parker Blvd Ste 230, Pueblo, Colorado |
| 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 |
|---|---|---|---|
| 1770733743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0000X | Pain Medicine - Pain Medicine | 52039 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mary Corwin Med Ctr, Centura Health | Pueblo, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Colorado Clinic Pc | 4284524067 | 37 |
| Entity Name | Catholic Health Initiatives Colorado |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462 |
| Entity Name | Southern Colorado Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285613554 PECOS PAC ID: 4284524067 Enrollment ID: O20040316001277 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mallikarjuna Nallegowda, MD, DNB, MNAMS Po Box 9000, Pueblo, CO 81008-9000 Ph: (719) 557-3666 | Dr Mallikarjuna Nallegowda, MD, DNB, MNAMS 3676 Parker Blvd Ste 230, Pueblo, CO 81008-2213 Ph: (719) 553-2200 |
Dr. Lars Vanetten, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 9 Judys Dream Ln, Pueblo, CO 81005 Phone: 719-242-5811 Fax: 719-212-2009 | |
Dr. Thomas A Hoffeld, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 3530 E Spaulding Ave, Pueblo, CO 81008 Phone: 719-296-9000 Fax: 719-296-9001 |