Sanjay Kumar Pathak, MD | |
1606 N 7th St, Terre Haute, IN 47804-2706 | |
(812) 238-7000 | |
Not Available |
Full Name | Sanjay Kumar Pathak |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 27 Years |
Location | 1606 N 7th St, Terre Haute, Indiana |
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 |
---|---|---|---|
1831170083 | NPI | - | NPPES |
200398800 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 222806 (Massachusetts) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 01056575A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Healthcare | Owosso, MI | Hospital |
Mclaren Bay Region | Bay city, MI | Hospital |
Midmichigan Medical Center-midland | Midland, MI | Hospital |
Mclaren Greater Lansing | Lansing, MI | Hospital |
Midmichigan Medical Center-clare | Clare, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Radiology Services Pc | 4284546516 | 235 |
Advanced Radiology Services Pc | 4284546516 | 235 |
Spartan Radiology Inc | 5698003697 | 179 |
Entity Name | Signature Healthcare Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508804949 PECOS PAC ID: 7719876267 Enrollment ID: O20040312000372 |
Entity Name | Advanced Radiology Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740283324 PECOS PAC ID: 4284546516 Enrollment ID: O20110816000552 |
Entity Name | Spartan Radiology Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932768058 PECOS PAC ID: 5698003697 Enrollment ID: O20200228001597 |
Mailing Address | Practice Location Address |
---|---|
Sanjay Kumar Pathak, MD 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 Ph: (616) 363-7339 | Sanjay Kumar Pathak, MD 1606 N 7th St, Terre Haute, IN 47804-2706 Ph: (812) 238-7000 |
Ranganath Vedala, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3102 Wabash Ave, Terre Haute, IN 47803 Phone: 812-234-8261 Fax: 812-234-8262 | |
Michael R Brown, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1606 N 7th St, Terre Haute, IN 47804 Phone: 812-238-7000 | |
Lingan Sidda, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1606 N 7th St, Terre Haute, IN 47804 Phone: 812-238-7000 | |
Zachary Michael Nuffer, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1606 N 7th St, Terre Haute, IN 47804 Phone: 812-238-4560 | |
Dr. Robert Haerr, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1606 N 7th St, Terre Haute, IN 47804 Phone: 812-238-7504 Fax: 812-238-7151 | |
Dr. Scott Loring Ackley, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1606 N 7th St, Terre Haute, IN 47804 Phone: 812-238-7504 Fax: 812-238-7151 | |
Srinivasarao Malyala, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3102 Wabash Ave, Terre Haute, IN 47803 Phone: 812-234-8261 Fax: 812-234-8262 |