| Dr Radha Vanukuri, MD | |
|
931 North Canal Blvd, Thibodaux, LA 70301 | |
| (985) 446-6381 | |
| (985) 446-5992 |
| Full Name | Dr Radha Vanukuri |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Experience | 21 Years |
| Location | 931 North Canal Blvd, Thibodaux, Louisiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316131196 | NPI | - | NPPES |
| 1007455 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD.204091 (Louisiana) | Secondary |
| 208M00000X | Hospitalist | 036144685 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Medical Center | Bloomington, IL | Hospital |
| Saint James Hospital | Pontiac, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cep America-illinois Hospitalists, Llp | 3274765904 | 132 |
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Radha Vanukuri, MD 931 North Canal Blvd, Thibodaux, LA 70301 Ph: (985) 446-6381 | Dr Radha Vanukuri, MD 931 North Canal Blvd, Thibodaux, LA 70301 Ph: (985) 446-6381 |
Dr. Bradley Ber I, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 602 N Acadia Rd, Thibodaux, LA 70301 Phone: 985-447-5500 | |
Brian Jude Parker, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 604 N Acadia Rd Ste 411, Thibodaux, LA 70301 Phone: 985-493-4933 |