| Dr Kornpong Vantanasiri, MD | |
|
1025 Marsh St, Mankato, MN 56001-4752 | |
| (507) 625-4031 | |
| Not Available |
| Full Name | Dr Kornpong Vantanasiri |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 10 Years |
| Location | 1025 Marsh St, Mankato, Minnesota |
| 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 |
|---|---|---|---|
| 1437640489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 72502 (Arizona) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | 69207 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mayo Clinic Hospital | Phoenix, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mayo Clinic Arizona | 7012829930 | 1503 |
| Entity Name | Mayo Clinic Arizona |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558332494 PECOS PAC ID: 7012829930 Enrollment ID: O20031105000782 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kornpong Vantanasiri, MD Po Box 860912, Minneapolis, MN 55486-0912 Ph: (507) 284-2511 | Dr Kornpong Vantanasiri, MD 1025 Marsh St, Mankato, MN 56001-4752 Ph: (507) 625-4031 |
Ripudamanjit Singh, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Stephan Thome, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Suresh Devineni, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1230 E Main St, Mankato, MN 56001 Phone: 507-625-1811 | |
Manpreet Kanwar, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1230 E Main St, Mankato Clinic, Mankato, MN 56002 Phone: 507-625-1811 | |
Birendra S Kumar, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1230 E Main St, Mankato Clinic At Main Street, Mankato, MN 56001 Phone: 507-625-1811 | |
Jeyanthan Ramesh Srikanthan, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Kingsley Iheasirim, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 |