Madan Mohan Reddy Koppolu, MD | |
309 Jackson St, Monroe, LA 71201-7407 | |
(318) 966-4000 | |
Not Available |
Full Name | Madan Mohan Reddy Koppolu |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 19 Years |
Location | 309 Jackson St, Monroe, Louisiana |
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 |
---|---|---|---|
1700033032 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | MD204817 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Memorial Hospital | Memphis, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeastern Physician Services Pc | 0042307852 | 473 |
Entity Name | Southeastern Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
Entity Name | Hospital Medicine Services Of Tennessee Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528433802 PECOS PAC ID: 9234432881 Enrollment ID: O20160114002673 |
Mailing Address | Practice Location Address |
---|---|
Madan Mohan Reddy Koppolu, MD 216 Grey Eagle Dr, Shreveport, LA 71115 Ph: (520) 906-7591 | Madan Mohan Reddy Koppolu, MD 309 Jackson St, Monroe, LA 71201-7407 Ph: (318) 966-4000 |
Charles W Mason, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 920 Oliver Rd, Monroe, LA 71201 Phone: 318-807-4730 Fax: 318-812-6450 | |
Dr. Thomas James Gullatt, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 309 Jackson St, Monroe, LA 71201 Phone: 318-966-4541 Fax: 319-966-4543 | |
Jasmine Ledet, NP Hospitalist Medicare: Medicare Enrolled Practice Location: 309 Jackson St, Monroe, LA 71201 Phone: 318-966-4541 Fax: 318-966-4543 | |
Howsiya Sethukavalan, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 309 Jackson St, Monroe, LA 71201 Phone: 318-966-4541 Fax: 318-966-4543 | |
Dr. Navin Ramlal, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 309 Jackson St, Monroe, LA 71201 Phone: 318-966-4541 Fax: 318-966-4543 | |
Ayn Morato, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 309 Jackson St, Monroe, LA 71201 Phone: 318-966-4541 Fax: 318-966-4543 | |
Sourabh Bidhan, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4864 Jackson St, Monroe, LA 71202 Phone: 346-351-0795 |