| Dr Tangella V Krishnarao, MD | |
|
101 W University Ave, Champaign, IL 61820-3981 | |
| (217) 337-2310 | |
| Not Available |
| Full Name | Dr Tangella V Krishnarao |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 32 Years |
| Location | 101 W University Ave, Champaign, Illinois |
| 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 |
|---|---|---|---|
| 1396755914 | NPI | - | NPPES |
| P00010307 | Other | RAILROAD MEDICARE | |
| 036108746 1 | Medicaid | IL | |
| 279500 | Other | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 036-108746 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Osf Sacred Heart Medical Center | Danville, IL | Hospital |
| Osf Heart Of Mary Medical Center | Urbana, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Christie Clinic, Pllc | 7719899319 | 210 |
| Entity Name | Christie Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871523829 PECOS PAC ID: 7719899319 Enrollment ID: O20031103000332 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tangella V Krishnarao, MD 101 W University Ave, Champaign, IL 61820-3909 Ph: (217) 337-2310 | Dr Tangella V Krishnarao, MD 101 W University Ave, Champaign, IL 61820-3981 Ph: (217) 337-2310 |
Dr. Salim G. Khazoum, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 101 W University Ave, Champaign, IL 61820 Phone: 217-337-2310 | |
Dr. Krishna M Irrinki, M.D Pathology Medicare: Accepting Medicare Assignments Practice Location: 101 W University Ave, Champaign, IL 61820 Phone: 217-337-2310 |