| Poorna Lingeswari Nalabothu, MD | |
|
1160 E 3900 S Ste 2000, Salt Lake City, UT 84124-1236 | |
| (801) 266-3418 | |
| (801) 266-4175 |
| Full Name | Poorna Lingeswari Nalabothu |
|---|---|
| Gender | Female |
| Speciality | Advanced Heart Failure And Transplant Cardiology |
| Experience | 21 Years |
| Location | 1160 E 3900 S Ste 2000, Salt Lake City, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538390869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RA0001X | Internal Medicine - Advanced Heart Failure And Transplant Cardiology | 10318271-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mark's Hospital | Salt lake city, UT | Hospital |
| Lone Peak Hospital | Draper, UT | Hospital |
| Mountain West Medical Center | Tooele, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountainstar Cardiology St Marks Llc | 2961661855 | 27 |
| Entity Name | Mountainstar Cardiology St Marks Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437446168 PECOS PAC ID: 2961661855 Enrollment ID: O20120313000497 |
| Mailing Address | Practice Location Address |
|---|---|
| Poorna Lingeswari Nalabothu, MD Po Box 741729, Atlanta, GA 30374-1729 Ph: () - | Poorna Lingeswari Nalabothu, MD 1160 E 3900 S Ste 2000, Salt Lake City, UT 84124-1236 Ph: (801) 266-3418 |
Dr. Mehmet Akkaya, M.D Internal Medicine Medicare: Medicare Enrolled Practice Location: University Of Utah Hospital Cardiology, 3o N,1900 E, Rm:4a100, Salt Lake City, UT 84132 Phone: 801-505-1689 | |
Dr. Willard Dere, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Foothill Blvd, Salt Lake City, UT 84148 Phone: 801-582-1565 | |
Megan Meier, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121 | |
Siddharth K. Iyengar, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606 | |
Taryn A. Young, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St, Salt Lake City, UT 84107 Phone: 801-507-4384 Fax: 801-507-4398 | |
David C. Haak, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-585-3580 | |
Kellen A. Sullivan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606 |