| Dr Sanjeev Kumar Mittal, MD | |
|
6027 Walnut Grove Rd Ste 402, Memphis, TN 38120-2129 | |
| (901) 767-0304 | |
| (901) 767-3884 |
| Full Name | Dr Sanjeev Kumar Mittal |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 35 Years |
| Location | 6027 Walnut Grove Rd Ste 402, Memphis, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689603102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | MD32232 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Davita Wolf River Dialysis | Cordova, TN | Dialysis facility |
| Davita State Line | Memphis, TN | Dialysis facility |
| Memphis Galleria Hometraining | Lakeland, TN | Dialysis facility |
| Collierville Dialysis | Collierville, TN | Dialysis facility |
| U.s. Renal Care Galleria Dialysis | Memphis, TN | Dialysis facility |
| Baptist Memorial Hospital | Memphis, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mittal Kidney And Dialysis, Pc | 9830152958 | 6 |
| Entity Name | Mittal Kidney And Dialysis, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831201466 PECOS PAC ID: 9830152958 Enrollment ID: O20050112000822 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sanjeev Kumar Mittal, MD 6027 Walnut Grove Rd, 402, Memphis, TN 38120-2145 Ph: (901) 767-0304 | Dr Sanjeev Kumar Mittal, MD 6027 Walnut Grove Rd Ste 402, Memphis, TN 38120-2129 Ph: (901) 767-0304 |
Khawaja Muhammad Muddassir, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1325 Eastmoreland Ave, Suite 370, Memphis, TN 38104 Phone: 901-758-7888 Fax: 901-387-5153 | |
Allison Montague, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1955 S 3rd St, Memphis, TN 38109 Phone: 901-515-5800 | |
Daniel David Austin, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6799 Great Oaks Rd Ste 200, Memphis, TN 38138 Phone: 901-259-0090 Fax: 901-259-0091 | |
Dr. Marcia Bradford, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 360 E Eh Crump Blvd, Memphis, TN 38126 Phone: 901-261-2000 Fax: 901-946-9262 | |
Dr. Aleksandar Jankov, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6029 Walnut Grove Rd, Suite 301, Memphis, TN 38120 Phone: 901-747-9081 Fax: 901-747-9087 | |
Manoj K Jain, MD, MPH Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6029 Walnut Grove Rd Ste 209, Memphis, TN 38120 Phone: 901-681-0778 Fax: 901-821-9987 | |
Dr. Karl Weber, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 880 Madison Ave, Memphis, TN 38103 Phone: 901-545-6969 Fax: 901-545-4739 |