| Shashikanth Gangu, MD | |
|
3001 W Dr Martin Luther King Jr Blvd Fl 1, Tampa, FL 33607-6307 | |
| (813) 357-0711 | |
| Not Available |
| Full Name | Shashikanth Gangu |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Critical Care Medicine |
| Location | 3001 W Dr Martin Luther King Jr Blvd Fl 1, Tampa, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639581655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0203X | Pediatrics - Pediatric Critical Care Medicine | ME131651 (Florida) | Primary |
| Entity Name | Baycare Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
| Mailing Address | Practice Location Address |
|---|---|
| Shashikanth Gangu, MD 1 Brookdale Plz, Brooklyn, NY 11212-3139 Ph: (718) 240-5893 | Shashikanth Gangu, MD 3001 W Dr Martin Luther King Jr Blvd Fl 1, Tampa, FL 33607-6307 Ph: (813) 357-0711 |
Tracy C Burton, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2 Tampa General Cir, 5th Floor, Tampa, FL 33606 Phone: 813-259-8752 Fax: 813-259-8749 | |
Dr. Steven Lee Ford, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2 Tampa General Cir, Tampa, FL 33606 Phone: 813-974-2201 Fax: 813-974-2812 | |
Donald F Pitisci, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2506 W Virginia Ave, Tampa, FL 33607 Phone: 813-870-3720 Fax: 813-877-0184 | |
Dr. Carolyn Louise Marasco, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10330 N Dale Mabry Hwy, Ste 190, Tampa, FL 33618 Phone: 813-963-7788 Fax: 813-443-8149 | |
Ellen Verena Jorgensen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 12901 Bruce B Downs Blvd, Mdc 15, Tampa, FL 33612 Phone: 813-974-2583 | |
Dr. Jonni H Klapper, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1202 E Palm Ave, School Health Services, Tampa, FL 33605 Phone: 813-273-7020 Fax: 813-273-7328 | |
Dr. Sharef Waadallah Al-mulaabed, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3100 E Fletcher Ave Ste 126, Tampa, FL 33613 Phone: 813-467-4770 Fax: 813-467-4243 |