| Shobha Rani Nalluri, MD | |
|
4730 Puddledock Rd, Suite 100, Prince George, VA 23875-1237 | |
| (804) 452-3850 | |
| (804) 541-7585 |
| Full Name | Shobha Rani Nalluri |
|---|---|
| Gender | Female |
| Speciality | Hematology/oncology |
| Experience | 24 Years |
| Location | 4730 Puddledock Rd, Prince George, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578759387 | NPI | - | NPPES |
| C01120 | Other | VA | MEDICARE GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | 0101250289 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southside Regional Medical Center | Petersburg, VA | Hospital |
| John Randolph Medical Center | Hopewell, VA | Hospital |
| Cjw Medical Center | Richmond, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Virginia Cancer Institute Incorporated | 8628048378 | 45 |
| Entity Name | Virginia Cancer Institute Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730130980 PECOS PAC ID: 8628048378 Enrollment ID: O20040729000501 |
| Mailing Address | Practice Location Address |
|---|---|
| Shobha Rani Nalluri, MD 7202 Glen Forest Dr, C/o Virginia Cancer Institute Suite 200, Richmond, VA 23226-3781 Ph: (804) 673-0134 | Shobha Rani Nalluri, MD 4730 Puddledock Rd, Suite 100, Prince George, VA 23875-1237 Ph: (804) 452-3850 |
Dr. Jiho Joseph Han, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 4700 Puddledock Rd, 400, Prince George, VA 23875 Phone: 804-458-1740 Fax: 804-541-1846 | |
Vivak Mahendra Master, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 4700 Puddledock Rd Ste 400, Prince George, VA 23875 Phone: 804-458-1740 Fax: 804-541-1846 | |
Dr. Kadarnath Shammie Boodram, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 4300 Crossings Blvd Ste 101, Prince George, VA 23875 Phone: 804-526-7900 Fax: 804-526-7195 | |
Yogesh K Gandhi, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 4730 Puddledock Rd, Suite 100, Prince George, VA 23875 Phone: 804-452-3850 Fax: 804-541-7585 | |
Dr. Reza Khan Omarzai, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 4700 Puddledock Rd, 400, Prince George, VA 23875 Phone: 804-458-1740 Fax: 804-541-1846 | |
Dr. Michael J Bunda, M.D. Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 4700 Puddledock Rd, 400, Prince George, VA 23875 Phone: 804-458-1740 Fax: 804-541-1846 |