| Dr Sudheer C Atluri, MD | |
|
1111 W. Pearce Blvd., Wentzville, MO 63385-1020 | |
| (636) 887-4288 | |
| (636) 639-2368 |
| Full Name | Dr Sudheer C Atluri |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1111 W. Pearce Blvd., Wentzville, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861417313 | NPI | - | NPPES |
| 204624217 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 100503 (Missouri) | Primary |
| 207R00000X | Internal Medicine | MD100503 (Missouri) | Secondary |
| Entity Name | Southeastern Emergency Physicians Of Memphis Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20060711000434 |
| Entity Name | Our Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902815863 PECOS PAC ID: 5799782496 Enrollment ID: O20061020000531 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sudheer C Atluri, MD 1742 Carman Ridge Ct, Ballwin, MO 63021-5871 Ph: (636) 230-6044 | Dr Sudheer C Atluri, MD 1111 W. Pearce Blvd., Wentzville, MO 63385-1020 Ph: (636) 887-4288 |
Nancy E Noel, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 Medical Dr, Wentzville, MO 63385 Phone: 636-327-1000 | |
Dr. Desh V Anand, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 W. Pearce Blvd., Wentzville, MO 63385 Phone: 636-887-4288 Fax: 636-639-2368 | |
Dr. Kalugotla N Shivaram, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 1111 W Pearce Blvd, Wentzville, MO 63385 Phone: 636-887-4288 Fax: 636-639-2368 | |
Christina Lyn Hatfield, RN Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Medical Dr, Wentzville, MO 63385 Phone: 636-327-1101 | |
Kerry E Florence, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Medical Dr, Wentzville, MO 63385 Phone: 636-327-1100 | |
Andrew Thomas Gelven, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Wentzville Pkwy Ste 117, Wentzville, MO 63385 Phone: 636-332-8455 |