| Dr Subhadra Chereddy, MBBS | |
|
130 Land Grant St Ste 6, Saint Augustine, FL 32092-2262 | |
| (904) 999-4684 | |
| (904) 436-5064 |
| Full Name | Dr Subhadra Chereddy |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 25 Years |
| Location | 130 Land Grant St Ste 6, Saint Augustine, Florida |
| 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 |
|---|---|---|---|
| 1255591103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME160972 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Conviva Medical Center Management, Llc | 4284717422 | 568 |
| Entity Name | Conviva Medical Center Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Subhadra Chereddy, MBBS 130 Land Grant St Ste 6, Saint Augustine, FL 32092-2262 Ph: (904) 999-4684 | Dr Subhadra Chereddy, MBBS 130 Land Grant St Ste 6, Saint Augustine, FL 32092-2262 Ph: (904) 999-4684 |
Dr. Patrick J Harris, D O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 270 Plaza Blvd Ste B5-b6, Saint Augustine, FL 32086 Phone: 904-819-5150 Fax: 904-819-5152 | |
Margret Thorhallsdottir, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6573 A1a S, Saint Augustine, FL 32080 Phone: 904-342-7363 | |
Dr. Hongfei Di, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 125 Land Grant St, Suite 2, Saint Augustine, FL 32092 Phone: 904-659-9818 Fax: 904-850-8078 | |
Dr. Monica Tran, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Palencia Village Dr Ste 107, Saint Augustine, FL 32095 Phone: 904-819-3200 | |
Dr. Adrian Long, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6573 A1a S, Saint Augustine, FL 32080 Phone: 904-342-7363 Fax: 904-342-7367 | |
Dr. Christine Marie Krajewski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Whetstone Pl Ste 105, Saint Augustine, FL 32086 Phone: 904-824-3777 Fax: 904-819-8246 |