| Gangadhara R Kabbli, MD | |
|
1243 Pennsylvania Ave, Pine City, NY 14871 | |
| (607) 734-6281 | |
| (607) 734-4409 |
| Full Name | Gangadhara R Kabbli |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 25 Years |
| Location | 1243 Pennsylvania Ave, Pine City, New York |
| 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 |
|---|---|---|---|
| 1841337672 | NPI | - | NPPES |
| 1032498220002 | Medicaid | PA | |
| 03397880 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 262909 (New York) | Primary |
| 207R00000X | Internal Medicine | 262909 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph's Hospital Health Center | Syracuse, NY | Hospital |
| Guthrie Cortland Regional Medical Center | Cortland, NY | Hospital |
| Auburn Community Hospital | Auburn, NY | Hospital |
| Oswego Hospital | Oswego, NY | Hospital |
| Samaritan Medical Center | Watertown, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Josephs Medical Pc | 4688855844 | 318 |
| Entity Name | Guthrie Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134178635 PECOS PAC ID: 6002728656 Enrollment ID: O20031103000220 |
| Entity Name | St Josephs Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942501747 PECOS PAC ID: 4688855844 Enrollment ID: O20110221000744 |
| Mailing Address | Practice Location Address |
|---|---|
| Gangadhara R Kabbli, MD 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 | Gangadhara R Kabbli, MD 1243 Pennsylvania Ave, Pine City, NY 14871 Ph: (607) 734-6281 |
Vincent S Ladelia, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1243 Pennsylvania Ave, Pine City, NY 14871 Phone: 570-734-6281 |