| Raghavendra Prakash, MD | |
|
3601 W Commercial Blvd Ste 5, Anesco North Broward Llc, Fort Lauderdale, FL 33309 | |
| (954) 485-5666 | |
| (954) 484-1651 |
| Full Name | Raghavendra Prakash |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 3601 W Commercial Blvd Ste 5, Fort Lauderdale, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821053950 | NPI | - | NPPES |
| 059190400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | ME29100 (Florida) | Primary |
| Entity Name | Anesco North Broward Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699763862 PECOS PAC ID: 3173436094 Enrollment ID: O20040225000118 |
| Entity Name | Anesco Anesthesia Associates Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629066832 PECOS PAC ID: 6002709151 Enrollment ID: O20070718000185 |
| Mailing Address | Practice Location Address |
|---|---|
| Raghavendra Prakash, MD 3601 W Commercial Blvd Ste 5, Anesco North Broward Llc, Fort Lauderdale, FL 33309 Ph: (954) 485-5666 | Raghavendra Prakash, MD 3601 W Commercial Blvd Ste 5, Anesco North Broward Llc, Fort Lauderdale, FL 33309 Ph: (954) 485-5666 |
Alejandro Mendoza, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3601 West Commercial Blvd Ste 5, Anesco North Broward Llc, Fort Lauderdale, FL 33309 Phone: 954-485-5666 Fax: 954-484-1651 | |
Dr. Ngoc-tien Truong, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4725 N. Federal Highway, Fort Lauderdale, FL 33308 Phone: 954-771-8000 Fax: 954-776-3270 | |
Paul W Kolbert, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3601 W Commercial Blvd, C/o Anesco North Broward Llc, Fort Lauderdale, FL 33309 Phone: 954-485-5666 Fax: 954-484-1651 | |
Dr. Ronaldo Schkolnik, M.D Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4240 Galt Ocean Dr, Apt #1504, Fort Lauderdale, FL 33308 Phone: 954-568-0186 Fax: 954-568-0186 | |
Tamara Hunt, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4725 N Federal Hwy, Fort Lauderdale, FL 33308 Phone: 954-771-8000 | |
Douglas E Ford, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3601 W Commercial Blvd Ste 5, Anesco North Broward Llc, Fort Lauderdale, FL 33309 Phone: 954-485-5666 Fax: 954-484-1651 | |
Nadezhda Stolyarova, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3601 W Commercial Blvd Ste 5, Anesco North Broward Llc, Fort Lauderdale, FL 33309 Phone: 954-485-5666 Fax: 954-484-1651 |