| Ravitej Goteti, | |
|
1108 Ross Clark Cir, Dothan, AL 36301-3022 | |
| (334) 793-8111 | |
| Not Available |
| Full Name | Ravitej Goteti |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1108 Ross Clark Cir, Dothan, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932549631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD35973 (Alabama) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Tucson Physician Group Holdings Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356726939 PECOS PAC ID: 0547560070 Enrollment ID: O20151204001261 |
| Entity Name | Sound Physicians Intensivists Of Arizona Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962944702 PECOS PAC ID: 9537443130 Enrollment ID: O20170227001893 |
| Mailing Address | Practice Location Address |
|---|---|
| Ravitej Goteti, Po Box 1928, Dothan, AL 36302-1928 Ph: (334) 793-8087 | Ravitej Goteti, 1108 Ross Clark Cir, Dothan, AL 36301-3022 Ph: (334) 793-8111 |
Parks Winfield Pratt Iii, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4300 W Main St, Suite 102, Dothan, AL 36305 Phone: 334-793-9564 Fax: 334-671-8907 | |
Mr. Rodney K Beauchamp, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 Parkwest Cir Ste 2, Dothan, AL 36303 Phone: 334-699-2004 | |
Brian Reynolds Sinclair, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1450 Ross Clark Cir Ste 400, Dothan, AL 36301 Phone: 334-305-0400 Fax: 334-305-0401 | |
Dr. Olawale Mayokun Osunsanya, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1763 E Main St, Dothan, AL 36301 Phone: 334-793-3319 Fax: 334-793-2291 | |
Nikki Ilona Broussard, CRNP Internal Medicine Medicare: Medicare Enrolled Practice Location: 207 Haven Dr, Dothan, AL 36301 Phone: 337-793-3319 | |
Jeffrey John Crittenden, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 480 Honeysuckle Rd, Dothan, AL 36305 Phone: 334-836-1212 Fax: 334-836-1888 | |
Dr. Venkat R Nimmagadda, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 207 Haven Dr, Dothan, AL 36301 Phone: 334-793-3319 Fax: 334-793-2291 |