| Dr Sudhakar Virendra Girotra, | |
|
407 S Schwartz Ave, Suite 202, Farmington, NM 87401-5925 | |
| (505) 609-6770 | |
| (505) 609-6775 |
| Full Name | Dr Sudhakar Virendra Girotra |
|---|---|
| Gender | Male |
| Speciality | Interventional Cardiology |
| Experience | 27 Years |
| Location | 407 S Schwartz Ave, Farmington, New Mexico |
| 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 |
|---|---|---|---|
| 1710184163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0011X | Internal Medicine - Interventional Cardiology | MD2014-0626 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marshfield Medical Center | Marshfield, WI | Hospital |
| Lakeview Medical Center Of Rice Lake | Rice lake, WI | Hospital |
| Ascension St Michaels Hospital | Stevens point, WI | Hospital |
| Marshfield Medical Center - Neillsville | Neillsville, WI | Hospital |
| Marshfield Medical Center - Eau Claire | Eau claire, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mchs Hospitals Inc | 5698071173 | 1187 |
| Memorial Hospital Inc | 2365433224 | 47 |
| Entity Name | Marshfield Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
| Entity Name | Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346239373 PECOS PAC ID: 2365433224 Enrollment ID: O20040519001426 |
| Entity Name | Memorial Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1346239373 PECOS PAC ID: 2365433224 Enrollment ID: O20110526000807 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
| Entity Name | Lakeview Medical Center Inc Of Rice Lake |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093201832 PECOS PAC ID: 6103737820 Enrollment ID: O20180817001484 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sudhakar Virendra Girotra, Po Box 6210, Farmington, NM 87499-6210 Ph: (505) 609-2258 | Dr Sudhakar Virendra Girotra, 407 S Schwartz Ave, Suite 202, Farmington, NM 87401-5925 Ph: (505) 609-6770 |
Shafqat Ullah, MBBS Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 Fax: 505-609-2425 | |
Dr. Erin Kealey Philpott, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-6463 Fax: 505-609-2259 | |
Joshua Turner, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 | |
Charles Hoffman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-6463 Fax: 505-609-6474 | |
Mitchell Louis Keel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 407 S Schwartz Ave Ste 201, Farmington, NM 87401 Phone: 505-609-6730 Fax: 505-599-4628 | |
Villa Auleen Del Carmen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-6463 | |
Dr. Patrice Alexa Zigrossi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 |