| Radhakrishna Kukkillaya, MD | |
|
38 Hospital Dr, Logan, WV 25601-3452 | |
| (304) 792-6282 | |
| (304) 792-6290 |
| Full Name | Radhakrishna Kukkillaya |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 35 Years |
| Location | 38 Hospital Dr, Logan, West Virginia |
| 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 |
|---|---|---|---|
| 1114981156 | NPI | - | NPPES |
| 0079677000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 18738 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dignity Home Health | Chapmanville, WV | Home health agency |
| Kindred At Home | Chapmanville, WV | Home health agency |
| Logan Regional Medical Center | Logan, WV | Hospital |
| Thomas Memorial Hospital | South charleston, WV | Hospital |
| Charleston Area Medical Center | Charleston, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sathish And Radha Internal Medicine Group Ltd | 0042378945 | 2 |
| Apogee Medical Group West Virginia Pllc | 0941343255 | 44 |
| Entity Name | Sathish & Radha Internal Medicine Group Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588828651 PECOS PAC ID: 0042378945 Enrollment ID: O20081022000083 |
| Entity Name | Apogee Medical Group West Virginia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669708442 PECOS PAC ID: 0941343255 Enrollment ID: O20100209000644 |
| Mailing Address | Practice Location Address |
|---|---|
| Radhakrishna Kukkillaya, MD Po Box 58187, Charleston, WV 25358-0187 Ph: (304) 792-6282 | Radhakrishna Kukkillaya, MD 38 Hospital Dr, Logan, WV 25601-3452 Ph: (304) 792-6282 |
Sathishchandra N Rao, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 38 Hospital Dr, Logan, WV 25601 Phone: 304-792-6255 Fax: 304-792-6290 | |
Fernando Luis Gonzalez-ramos, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 77 Hospital Drive, Suite 101, Logan, WV 25601 Phone: 304-831-0450 Fax: 304-831-0452 | |
Robert Perez, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 Hospital Dr, Logan, WV 25601 Phone: 304-831-1630 Fax: 304-831-1634 | |
Dr. Chris Mccoy, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 557 Main St, Logan, WV 25601 Phone: 304-896-5001 | |
Dr. Raymond Omar Rushden, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 140 Stollings Ave Ste 2, Logan, WV 25601 Phone: 304-752-8400 Fax: 304-752-8419 | |
John T Tiano, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 20 Hospital Drive, Logan, WV 25601 Phone: 304-831-1602 Fax: 304-831-1605 |