Praveen Venigalla, | |
129 N Washington St, Sumter, SC 29150-4949 | |
(803) 434-6771 | |
(803) 434-3955 |
Full Name | Praveen Venigalla |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 129 N Washington St, Sumter, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528352598 | NPI | - | NPPES |
NC3370 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 52426 (South Carolina) | Secondary |
207R00000X | Internal Medicine | 2017-00547 (North Carolina) | Primary |
Entity Name | St Lukes Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
Entity Name | Fox Chase Cancer Center Medical Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396019444 PECOS PAC ID: 8123289550 Enrollment ID: O20120412000054 |
Mailing Address | Practice Location Address |
---|---|
Praveen Venigalla, 500 Jefferson St, Whiteville, NC 28472-3634 Ph: () - | Praveen Venigalla, 129 N Washington St, Sumter, SC 29150-4949 Ph: (803) 434-6771 |
Fritz E Jean Gilles, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 129 N Washington St, Sumter, SC 29150 Phone: 803-774-9680 Fax: 803-774-5217 | |
Dr. Thomas E Hawkey, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12 Barnette Dr, Sumter, SC 29150 Phone: 803-773-5442 Fax: 803-778-2394 | |
Dr. Joseph Cecil Williams, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 129 N Washington St, Sumter, SC 29150 Phone: 803-774-1788 Fax: 803-774-9113 | |
Dr. John Julian Abbott, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 129 N Washington St, Sumter, SC 29150 Phone: 803-774-5248 | |
Dr. Theophilus D Williams Iii, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 641 W Wesmark Blvd, Sumter, SC 29150 Phone: 803-905-6944 Fax: 803-469-3944 | |
Harry A Jordan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1295 Wilson Hall Rd, Sumter, SC 29150 Phone: 803-905-6800 Fax: 803-905-6810 | |
Dr. Floyd L Angus, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 641 W Wesmark Blvd, Sumter, SC 29150 Phone: 803-905-6944 Fax: 803-469-3944 |