| Prudhvi Rajan Karumanchi, MD, MPH | |
|
1082 E Brandon Blvd, Brandon, FL 33511-5509 | |
| (813) 689-9900 | |
| (813) 653-9696 |
| Full Name | Prudhvi Rajan Karumanchi |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 22 Years |
| Location | 1082 E Brandon Blvd, Brandon, Florida |
| 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 |
|---|---|---|---|
| 1477723781 | NPI | - | NPPES |
| 018568200 | Medicaid | FL | |
| 200738900A | Medicaid | KS | |
| 511630601949-003 | Other | FL | MEDICARE |
| 068002136 | Other | KS | MEDICARE PTAN |
| 036126553 | Other | IL | STATE MEDICAL BOARD |
| 125050813 | Other | IL | PHYSICIAN TEMPORARY LICEN |
| ME126502 | Other | FL | STATE MEDICAL BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | ME126502 (Florida) | Secondary |
| 207R00000X | Internal Medicine | ME126502 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Central Park Healthcare And Rehabilitation Center | Brandon, FL | Nursing home |
| Hawthorne Health And Rehab Of Brandon | Brandon, FL | Nursing home |
| Luxe At Lutz Rehabilitation Center (the) | Lutz, FL | Nursing home |
| Brandon Health And Rehabilitation Center | Brandon, FL | Nursing home |
| Concordia Village Of Tampa | Tampa, FL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Optumcare Florida, Llc | 3072403476 | 264 |
| Entity Name | Optumcare Florida, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053384214 PECOS PAC ID: 3072403476 Enrollment ID: O20040318001123 |
| Entity Name | Advanced Care Hospitalists Pl |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457389587 PECOS PAC ID: 5092753632 Enrollment ID: O20050422000853 |
| Mailing Address | Practice Location Address |
|---|---|
| Prudhvi Rajan Karumanchi, MD, MPH 1082 E Brandon Blvd, Brandon, FL 33511-5509 Ph: (813) 689-9900 | Prudhvi Rajan Karumanchi, MD, MPH 1082 E Brandon Blvd, Brandon, FL 33511-5509 Ph: (813) 689-9900 |
Dr. Joanna G Ramirez, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 214 Morrison Rd, Ste 110, Brandon, FL 33511 Phone: 813-844-4300 Fax: 813-844-1909 | |
Syed Mustafa Zaidi, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 119 Oakfield Dr, Brandon, FL 33511 Phone: 407-788-1906 | |
Harshinder Singh, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 1159 Nikki View Dr, Brandon, FL 33511 Phone: 813-996-7272 Fax: 813-634-4306 | |
Jonathan P Axel, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 631 W Lumsden Rd, Brandon, FL 33511 Phone: 813-413-9119 Fax: 813-413-9122 | |
Dr. Monther Hafez Al-halawani, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 502 Corner Dr, Brandon, FL 33511 Phone: 813-643-4722 Fax: 813-651-3280 | |
Dr. Elizabeth J Carpenter, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 311 Noland Dr, Brandon, FL 33511 Phone: 813-333-1601 | |
Michael L Davis, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1218 Millennium Pkwy, Brandon, FL 33511 Phone: 813-684-5255 Fax: 813-654-7457 |