| Dr Vishal Reddy Kuchaculla, MD | |
|
819 Worcester St, Suite 3, Springfield, MA 01151-1045 | |
| (413) 543-6820 | |
| (413) 543-7962 |
| Full Name | Dr Vishal Reddy Kuchaculla |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 819 Worcester St, Springfield, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386837342 | NPI | - | NPPES |
| 110087930A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD436247 (Pennsylvania) | Secondary |
| 207R00000X | Internal Medicine | 238378 (Massachusetts) | Primary |
| Entity Name | Lahey Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097 |
| Entity Name | Ipc Hospitalists Of New England Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659555266 PECOS PAC ID: 7618051442 Enrollment ID: O20080303000565 |
| Entity Name | Massachusetts Acute Care Specialists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306134812 PECOS PAC ID: 9234303082 Enrollment ID: O20111114000448 |
| Entity Name | Vantage Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366903551 PECOS PAC ID: 8224361191 Enrollment ID: O20190607000976 |
| Entity Name | Pai Participant Ma Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932984317 PECOS PAC ID: 9537513684 Enrollment ID: O20230925000533 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Vishal Reddy Kuchaculla, MD 819 Worcester St, Suite 3, Springfield, MA 01151-1045 Ph: (413) 543-6820 | Dr Vishal Reddy Kuchaculla, MD 819 Worcester St, Suite 3, Springfield, MA 01151-1045 Ph: (413) 543-6820 |
Mr. Kanishq Rajan Jethani, M.D Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 759 Chestnut St, Springfield, MA 01107 Phone: 413-794-4320 Fax: 413-794-1767 | |
Grace Makari-judson, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3350 Main Street, Springfield, MA 01107 Phone: 413-794-9338 Fax: 413-794-9754 | |
Peter Whittredge, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2 Medical Center Dr, Suite 410, Springfield, MA 01107 Phone: 413-781-5735 Fax: 413-732-0225 | |
Dr. Marc A Goldman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 175 Carew St Ste 200, Springfield, MA 01104 Phone: 413-732-4269 Fax: 413-785-4619 | |
Twara K Tarasaria, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 759 Chestnut St, Springfield, MA 01107 Phone: 413-794-6297 Fax: 413-794-1767 | |
Emily Mildred Ramasra, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3300 Main St Fl 3, Springfield, MA 01107 Phone: 413-794-7394 Fax: 413-794-7136 | |
Noor Tariq, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 759 Chestnut St, Springfield, MA 01107 Phone: 413-794-6297 Fax: 413-794-1767 |