| Robert Kosalka, MD | |
|
15 S Main St Ste 130, Jamestown, NY 14701-6626 | |
| (716) 664-7725 | |
| (716) 664-9241 |
| Full Name | Robert Kosalka |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Nephrology |
| Location | 15 S Main St Ste 130, Jamestown, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992291157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 326651-01 (New York) | Primary |
| Entity Name | Great Lakes Physician Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730599176 PECOS PAC ID: 6709007701 Enrollment ID: O20141016000108 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Kosalka, MD 15 S Main St Ste 130, Jamestown, NY 14701-6626 Ph: (716) 664-7725 | Robert Kosalka, MD 15 S Main St Ste 130, Jamestown, NY 14701-6626 Ph: (716) 664-7725 |
Mario Gentile, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 31 Sherman St, Suite 1400, Jamestown, NY 14701 Phone: 716-665-4656 Fax: 716-665-4664 | |
Umamaheswara Rao Vejendla Physician Pc, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 152 Foote Ave, Jamestown, NY 14701 Phone: 716-664-5290 Fax: 716-664-7630 | |
Dr. Mumtaz Karimi, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 890 E Second Street, Jamestown, NY 14701 Phone: 716-661-1447 | |
Dr. Sawaran Singh Bambrah, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 320 Prather Ave, Jamestown, NY 14701 Phone: 716-488-0776 Fax: 716-664-9092 | |
Shaden Alfallay, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 15 S Main St, Suite 150 Internal Medicine, Jamestown, NY 14701 Phone: 716-484-8610 | |
Dr. George L So, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 15 S Main St, Suite 110 - Cardiology, Jamestown, NY 14701 Phone: 716-483-2320 Fax: 716-484-2582 | |
Frank Arnal, Nephrology Medicare: Medicare Enrolled Practice Location: 15 S Main St, Suite 240, Jamestown, NY 14701 Phone: 716-483-0803 |