| Dr Radha Kotamraju, | |
|
1 Bay Ave, Montclair, NJ 07042-4837 | |
| (973) 429-6991 | |
| Not Available |
| Full Name | Dr Radha Kotamraju |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 1 Bay Ave, Montclair, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255533188 | NPI | - | NPPES |
| 0140708 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 25MA08239300 (New Jersey) | Primary |
| Entity Name | Sheridan Emergency Physician Services Of South Dade, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346287166 PECOS PAC ID: 6305849449 Enrollment ID: O20060810000403 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Radha Kotamraju, 2828 Croasdaile Dr, Durham, NC 27705-2505 Ph: (919) 425-1541 | Dr Radha Kotamraju, 1 Bay Ave, Montclair, NJ 07042-4837 Ph: (973) 429-6991 |
Erik Sherman, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 1 Bay Ave, Montclair, NJ 07042 Phone: 973-429-6000 | |
Dr. Augustine Yao Alifo, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Bay Ave, Montclair, NJ 07042 Phone: 973-429-6000 | |
Dr. Larry Carter, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Bay Ave, Montclair, NJ 07042 Phone: 973-429-6000 | |
Dr. Mitchell Jerold Heller, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Bay Ave, Montclair, NJ 07042 Phone: 973-429-6000 | |
Viktor Livshits, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Bay Ave, Montclair, NJ 07042 Phone: 973-429-6000 | |
Dr. Lani Mendelson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Bay Ave, Montclair, NJ 07042 Phone: 561-213-5084 |