| Prasadarao Kondapalli, MD | |
|
15000 Madison Ave, Lakewood, OH 44107-4014 | |
| (216) 227-1595 | |
| (216) 227-9465 |
| Full Name | Prasadarao Kondapalli |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 15000 Madison Ave, Lakewood, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336116565 | NPI | - | NPPES |
| 0428504 | Medicaid | OH | |
| CA4511 | Other | GROUP RR MEDICARE | |
| 1780634279 | Other | GROUP NPI | |
| D368301 | Other | GROUP IND DIAGNOSTICS MED | |
| 0119204 | Other | GROUP MEDICAID | |
| 3610861 | Other | GROUP ASC MEDICARE | |
| 9273172 | Other | GROUP MEDICARE | |
| 10794333 | Other | CAQH | |
| 109902 | Other | KAISER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RP1001X | Internal Medicine - Pulmonary Disease | 35042650K (Ohio) | Secondary |
| 207R00000X | Internal Medicine | 35042650 (Ohio) | Primary |
| Entity Name | The Metrohealth System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053353896 PECOS PAC ID: 8628982949 Enrollment ID: O20031119000355 |
| Entity Name | Vpa Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932386059 PECOS PAC ID: 9234041948 Enrollment ID: O20031119000596 |
| Mailing Address | Practice Location Address |
|---|---|
| Prasadarao Kondapalli, MD 20525 Center Ridge Rd, Ste 220, Rocky River, OH 44116 Ph: (440) 895-5056 | Prasadarao Kondapalli, MD 15000 Madison Ave, Lakewood, OH 44107-4014 Ph: (216) 227-1595 |
Anita Bhalla, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15000 Madison Ave, Lakewood, OH 44107 Phone: 216-472-1404 Fax: 216-529-7806 | |
Dr. Nazih M Zein, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 14601 Detroit Ave, 590, Lakewood, OH 44107 Phone: 216-529-7098 Fax: 216-529-8689 | |
Cipriano S Beredo Jr., M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 14519 Detroit Ave, Lakewood, OH 44107 Phone: 216-521-4200 | |
Gasan Nemr, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15000 Madison Ave, Lakewood, OH 44107 Phone: 216-221-7642 Fax: 216-529-7806 | |
Mourad El-gazzar, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 15000 Madison Ave, Lakewood, OH 44107 Phone: 216-227-9964 Fax: 216-221-5473 | |
Carole M Rojas, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 14601 Detroit Ave, Ste 400, Lakewood, OH 44107 Phone: 216-226-8700 Fax: 216-221-3171 | |
Dr. Margaret Toth, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2217 Woodward Ave, Lakewood, OH 44107 Phone: 443-534-5962 |