| Nischala Rajegowda, MD | |
|
1 Trillium Way, Corbin, KY 40701-8727 | |
| (606) 523-8620 | |
| (606) 523-8706 |
| Full Name | Nischala Rajegowda |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 1 Trillium Way, Corbin, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497043236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 51002 (Kentucky) | Primary |
| Entity Name | Carle Health Care Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
| Entity Name | Carle West Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Nischala Rajegowda, MD Po Box 1325, Corbin, KY 40702-1325 Ph: (606) 526-8131 | Nischala Rajegowda, MD 1 Trillium Way, Corbin, KY 40701-8727 Ph: (606) 523-8620 |
Dr. Rebekah Elise Booth, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 60 Bryan Blvd, Suite 200, Corbin, KY 40701 Phone: 606-528-9700 Fax: 606-528-8423 | |
Dr. Kendra Rachelle Gray, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 57 Summit Dr, Corbin, KY 40701 Phone: 606-528-9700 | |
Goutham Hebbalmath, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 57 Summit Dr, Corbin, KY 40701 Phone: 606-528-9700 Fax: 606-528-8423 | |
Dr. Jimmye Shannon Perkins, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2 Trillium Way, Suite 306, Corbin, KY 40701 Phone: 606-526-4070 Fax: 606-526-4072 | |
Christina Marie Butler, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 57 Summit Dr, Corbin, KY 40701 Phone: 606-528-9700 Fax: 606-528-8423 |