| Dr Renuka Bankulla, MD | |
|
212 Gair St, Piermont, NY 10968-1058 | |
| (914) 434-0329 | |
| Not Available |
| Full Name | Dr Renuka Bankulla |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 36 Years |
| Location | 212 Gair St, Piermont, New York |
| 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 |
|---|---|---|---|
| 1205819869 | NPI | - | NPPES |
| 01801192 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 209451 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Li Queens Medical Care Pllc | 2961630363 | 2 |
| Gastrointestinal Care Of Long Island Pllc | 7517042211 | 118 |
| Singular Anesthesia Services Pllc | 7618284092 | 66 |
| Entity Name | Jonathan David, Md, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336144104 PECOS PAC ID: 7214840560 Enrollment ID: O20031112000045 |
| Entity Name | Igor Amigud Physician P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245337989 PECOS PAC ID: 8729016878 Enrollment ID: O20050729000667 |
| Entity Name | Gastrointestinal Care Of Long Island Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265571863 PECOS PAC ID: 7517042211 Enrollment ID: O20080305000269 |
| Entity Name | The Light Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619265998 PECOS PAC ID: 5496925505 Enrollment ID: O20110829000400 |
| Entity Name | Queens Boulevard Asc Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1558612762 PECOS PAC ID: 5890932339 Enrollment ID: O20130501000066 |
| Entity Name | Li Queens Medical Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043556590 PECOS PAC ID: 2961630363 Enrollment ID: O20140110000043 |
| Entity Name | Singular Anesthesia Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881086718 PECOS PAC ID: 7618284092 Enrollment ID: O20150917000516 |
| Entity Name | Emusc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912458159 PECOS PAC ID: 5597045526 Enrollment ID: O20170302000098 |
| Entity Name | Sedation Vacation Perioperative Medicine Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891235404 PECOS PAC ID: 1759658594 Enrollment ID: O20170525001955 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Renuka Bankulla, MD 212 Gair St, Piermont, NY 10968-1058 Ph: (914) 434-0329 | Dr Renuka Bankulla, MD 212 Gair St, Piermont, NY 10968-1058 Ph: (914) 434-0329 |