| Mallikarjun Kamishetti, MD | |
|
114 N Main St Ste 200, Suffolk, VA 23434-4564 | |
| (757) 983-8600 | |
| Not Available |
| Full Name | Mallikarjun Kamishetti |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 24 Years |
| Location | 114 N Main St Ste 200, Suffolk, Virginia |
| 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 |
|---|---|---|---|
| 1982645297 | NPI | - | NPPES |
| 64129414 | Medicaid | KY | |
| 000000559181 | Other | KY | ANTHEM BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 39952 (Kentucky) | Primary |
| 208M00000X | Hospitalist | 39952 (Kentucky) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sentara Obici Hospital | Suffolk, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sentara Medical Group | 8921903923 | 1200 |
| Entity Name | Sentara Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466 |
| Mailing Address | Practice Location Address |
|---|---|
| Mallikarjun Kamishetti, MD Po Box 55, Hopkinsville, KY 42241-0055 Ph: (270) 887-0100 | Mallikarjun Kamishetti, MD 114 N Main St Ste 200, Suffolk, VA 23434-4564 Ph: (757) 983-8600 |
Dr. James J Stark, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5835 Harbour View Blvd, Suite C, Suffolk, VA 23435 Phone: 757-397-4200 Fax: 757-397-3872 | |
Dr. Harish V Iyer, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5839 Harbour View Blvd, Suite 200, Suffolk, VA 23435 Phone: 757-483-6100 Fax: 757-483-2203 | |
Mrs. Zia Ann Khould, CNP Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5839 Harbour View Blvd, Suffolk, VA 23435 Phone: 757-397-4200 | |
Dr. Thomas Vincent Whelan, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3009 Corporate Ln, Suite 210, Suffolk, VA 23434 Phone: 757-623-0005 Fax: 757-935-1561 | |
Dr. Demetria Yvette Austin, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2800 Godwin Blvd, Suffolk, VA 23434 Phone: 757-967-8622 Fax: 757-686-0541 | |
Hussein Mohamed Aboulatta, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2000 Meade Parkway, Suffolk, VA 23434 Phone: 757-539-0251 Fax: 757-934-2564 | |
Dr. Michael T Williams, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 114 N Main St Ste 200, Suffolk, VA 23434 Phone: 757-934-1003 Fax: 757-934-1660 |