| Dr Venkat Kiran Kanchustambham, M/D | |
|
801, Broadway N, Fargo, ND 58102 | |
| (701) 234-2000 | |
| (701) 234-2345 |
| Full Name | Dr Venkat Kiran Kanchustambham |
|---|---|
| Gender | Male |
| Speciality | Pulmonary Disease |
| Experience | 18 Years |
| Location | 801, Broadway N, Fargo, North Dakota |
| 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 |
|---|---|---|---|
| 1851602999 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sanford Medical Center Fargo | Fargo, ND | Hospital |
| Perham Health | Perham, MN | Hospital |
| Sanford Bemidji Medical Center | Bemidji, MN | Hospital |
| Jamestown Regional Medical Center | Jamestown, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Medical Center Fargo | 8426967803 | 1125 |
| Entity Name | Sanford Medical Center Fargo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Venkat Kiran Kanchustambham, M/D 801, Broadway N, Fargo, ND 58102 Ph: (701) 234-2000 | Dr Venkat Kiran Kanchustambham, M/D 801, Broadway N, Fargo, ND 58102 Ph: (701) 234-2000 |
Abdallah M Mansour, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8900 | |
Gerald G Gross, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 820 4th St N, Fargo, ND 58102 Phone: 701-234-6161 | |
Paul James Carson, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-4811 Fax: 701-234-6979 | |
Howard L Russell, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 820 N 4th St, Fargo, ND 58122 Phone: 701-234-6161 Fax: 701-234-3861 | |
Stephen John Lee, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 2101 Elm Street N, Fargo, ND 58102 Phone: 701-239-3700 | |
Dr. Emuejevoke Joseph Okoh, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 | |
Devendranath Reddy Mannuru, M.D Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 218-786-8364 |