| Mr Deepak Mittal, MD | |
|
47 Cavalier Blvd, Suite 120, Florence, KY 41042-3969 | |
| (859) 757-4353 | |
| (859) 534-0865 |
| Full Name | Mr Deepak Mittal |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 18 Years |
| Location | 47 Cavalier Blvd, Florence, Kentucky |
| 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 |
|---|---|---|---|
| 1447296538 | NPI | - | NPPES |
| 2275210 | Medicaid | OH | |
| 64344559 | Medicaid | KY |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fmc - Boone County | Florence, KY | Dialysis facility |
| St Elizabeth Edgewood | Edgewood, KY | Hospital |
| St Elizabeth Florence | Florence, KY | Hospital |
| St Elizabeth Ft Thomas | Fort thomas, KY | Hospital |
| Highland District Hospital | Hillsboro, OH | Hospital |
| St Elizabeth Grant | Williamstown, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kidney Disease Consultants | 4688767437 | 3 |
| Kidney Disease Consultants | 4688767437 | 3 |
| Entity Name | Kidney Disease Consultants |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669676383 PECOS PAC ID: 4688767437 Enrollment ID: O20070910000747 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Deepak Mittal, MD 47 Cavalier Blvd, Suite 120, Florence, KY 41042-3969 Ph: (859) 757-4353 | Mr Deepak Mittal, MD 47 Cavalier Blvd, Suite 120, Florence, KY 41042-3969 Ph: (859) 757-4353 |
Karan Motiani, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4900 Houston Rd, Florence, KY 41042 Phone: 859-301-8074 Fax: 859-301-4945 | |
Elham Shanehsaz, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4900 Houston Road, Florence, KY 41042 Phone: 859-301-8074 | |
Clebert Isma Jr., MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4900 Houston Rd, Florence, KY 41042 Phone: 859-301-8074 Fax: 859-301-4945 | |
Aishwarya Rushyal Shyamraj, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4900 Houston Rd, Florence, KY 41042 Phone: 859-331-6466 Fax: 859-344-7930 | |
Zachary Jurkowski, MD Nephrology Medicare: May Accept Medicare Assignments Practice Location: 4900 Houston Rd, Florence, KY 41042 Phone: 859-331-6466 Fax: 859-344-7930 | |
Barbara Marie Okafor, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 7370 Turfway Rd, Florence, KY 41042 Phone: 859-757-4446 Fax: 859-344-1999 | |
Patricia Miles, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 7388 Turfway Rd, Florence, KY 41042 Phone: 859-301-9140 Fax: 859-212-5124 |