| Murali Krishna Surnedi, MD | |
|
1825 Logan Ave, Waterloo, IA 50703-1916 | |
| (319) 235-3716 | |
| (319) 235-5202 |
| Full Name | Murali Krishna Surnedi |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 27 Years |
| Location | 1825 Logan Ave, Waterloo, Iowa |
| 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 |
|---|---|---|---|
| 1407003015 | NPI | - | NPPES |
| 1407003015 | Other | IA | WELLMARK |
| 421417307-VO | Other | IA | UHC & UHC-RV |
| 1407003015 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085P0229X | Radiology - Pediatric Radiology | P3082 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Children's Physician Services Of South Texas | 3678478872 | 39 |
| Entity Name | Children's Physician Services Of South Texas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568658227 PECOS PAC ID: 3678478872 Enrollment ID: O20040324001704 |
| Mailing Address | Practice Location Address |
|---|---|
| Murali Krishna Surnedi, MD Po Box 2758, 4150 Kimball Avenue, Waterloo, IA 50704-2758 Ph: (319) 235-5390 | Murali Krishna Surnedi, MD 1825 Logan Ave, Waterloo, IA 50703-1916 Ph: (319) 235-3716 |
James Vincent Connell Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-3716 Fax: 319-233-1630 | |
Vandana Jain, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 E Ridgeway Ave, Waterloo, IA 50702 Phone: 319-272-2800 Fax: 319-272-2807 | |
Greg Evan Raecker, DO Radiology Medicare: Medicare Enrolled Practice Location: 1731 W Ridgeway Ave, Ste 101, Waterloo, IA 50701 Phone: 319-833-6001 Fax: 319-833-6003 | |
Cassandra S Foens, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 200 E Ridgeway Ave, Waterloo, IA 50702 Phone: 319-272-2800 Fax: 319-272-2807 | |
Lawrence Arthur Liebscher, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1731 W Ridgeway Ave, Ste 101, Waterloo, IA 50701 Phone: 319-833-6001 Fax: 319-833-6003 | |
Wayne Leroy Ventling Ii, DO Radiology Medicare: Medicare Enrolled Practice Location: 4150 Kimball Avenue, Waterloo, IA 50701 Phone: 219-235-5390 Fax: 319-233-1630 | |
Stephen Dale Frazier, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-3716 Fax: 319-233-1630 |