| Dr Ramchandra Nallu, MD | |
|
1920 Lakeland Hills Blvd, Lakeland, FL 33805-2902 | |
| (863) 683-4661 | |
| Not Available |
| Full Name | Dr Ramchandra Nallu |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1920 Lakeland Hills Blvd, Lakeland, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891751814 | NPI | - | NPPES |
| 116614500 | Medicaid | FL | |
| 2224140 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 35-077589N (Ohio) | Secondary |
| 208000000X | Pediatrics | ME141106 (Florida) | Primary |
| Entity Name | Collier Health Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609827211 PECOS PAC ID: 4183521925 Enrollment ID: O20040210000106 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ramchandra Nallu, MD 3111 Lake Ellen Dr, Tampa, FL 33618-3617 Ph: (419) 302-0888 | Dr Ramchandra Nallu, MD 1920 Lakeland Hills Blvd, Lakeland, FL 33805-2902 Ph: (863) 683-4661 |
Dr. Matthew J Cory, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5950 S Florida Ave, Lakeland, FL 33813 Phone: 863-688-3550 Fax: 863-687-8969 | |
Dr. Parmjit Kaur Gill, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4304 Highland Park Blvd, Lakeland, FL 33813 Phone: 863-644-9398 Fax: 863-644-9354 | |
Ronal Haskins, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1033 N Parkway Frontage Rd, Lakeland, FL 33803 Phone: 863-647-8011 Fax: 863-647-8029 | |
Dr. Theresa Lynn Felten, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 223 Lake Gibson Ln, Lakeland, FL 33809 Phone: 863-853-2069 | |
Mansooreh Salari, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3241 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-413-2620 Fax: 863-499-2612 | |
Dr. Musarrat N Qureshi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5133 South Lakeland Drive, Lakeland, FL 33813 Phone: 888-362-2343 Fax: 888-388-1340 | |
Erjola Balliu, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3030 Harden Blvd, Lakeland, FL 33803 Phone: 863-284-6800 Fax: 863-284-6825 |