| Prabhakara Reddy Tukivakala, MD | |
|
810 Newman Dr # A, Helena, AR 72342-8950 | |
| (870) 338-7441 | |
| (870) 338-7945 |
| Full Name | Prabhakara Reddy Tukivakala |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 810 Newman Dr # A, Helena, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659474161 | NPI | - | NPPES |
| 117462001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | R4048 (Arkansas) | Primary |
| Entity Name | Lee County Cooperative Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669480836 PECOS PAC ID: 8921917204 Enrollment ID: O20081213000190 |
| Entity Name | Arkansas Emergency Staffing Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275774630 PECOS PAC ID: 3274681341 Enrollment ID: O20090501000014 |
| Entity Name | Ess Hospitalist Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881967305 PECOS PAC ID: 6103085295 Enrollment ID: O20120308000726 |
| Mailing Address | Practice Location Address |
|---|---|
| Prabhakara Reddy Tukivakala, MD Po Box 806, Helena, AR 72342-0806 Ph: (870) 338-7441 | Prabhakara Reddy Tukivakala, MD 810 Newman Dr # A, Helena, AR 72342-8950 Ph: (870) 338-7441 |
Dr. Praveen Chowdary Kanneganti, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 Martin Luther King Jr Dr, Helena, AR 72342 Phone: 870-816-3845 |