| Sanjiv Gollakota, DO | |
|
3000 S State Road 135 Ste 310, Greenwood, IN 46143 | |
| (317) 497-2400 | |
| (317) 497-2515 |
| Full Name | Sanjiv Gollakota |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 10 Years |
| Location | 3000 S State Road 135 Ste 310, Greenwood, 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 |
|---|---|---|---|
| 1568845220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OT016591 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Yale-new Haven Hospital | New haven, CT | Hospital |
| Lawrence & Memorial Hospital | New london, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Medical Group Inc | 1254233836 | 1287 |
| Entity Name | Northeast Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
| Mailing Address | Practice Location Address |
|---|---|
| Sanjiv Gollakota, DO 6626 E 75th St Ste 500, Indianapolis, IN 46250-2890 Ph: (317) 621-9312 | Sanjiv Gollakota, DO 3000 S State Road 135 Ste 310, Greenwood, IN 46143 Ph: (317) 497-2400 |
Dr. Cary Zietlow, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 45 N Madison Ave, Greenwood, IN 46142 Phone: 317-887-7624 Fax: 317-887-7625 | |
Dr. Abhinav Singh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 E County Line Rd, Suite 101, Greenwood, IN 46143 Phone: 317-885-2860 Fax: 317-885-2869 | |
Dr. Christopher Patrick Kaup, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 N Madison Ave, Greenwood, IN 46142 Phone: 317-528-7500 Fax: 317-528-7515 | |
Dr. John Robert Colaluca, D.O Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 898 E Main St, Greenwood, IN 46143 Phone: 317-887-1348 Fax: 317-882-1631 | |
Edris Ayoubi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 E County Line Rd, Suite 101, Greenwood, IN 46143 Phone: 317-885-2860 Fax: 317-885-2869 | |
Walid Samaan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1040 Sierra Dr, Suite 400, Greenwood, IN 46143 Phone: 317-528-4270 Fax: 317-865-8336 | |
Dr. Ruxandra C Ionescu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 E County Line Rd, Suite 101, Greenwood, IN 46143 Phone: 317-885-2334 Fax: 317-885-2869 |