| Shravan Kumar Reddy Gangula, MD | |
|
1400 W 4th St, Coffeyville, KS 67337-3306 | |
| (620) 688-6566 | |
| (620) 688-6577 |
| Full Name | Shravan Kumar Reddy Gangula |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 18 Years |
| Location | 1400 W 4th St, Coffeyville, Kansas |
| 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 |
|---|---|---|---|
| 1437463593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 27717 (Oklahoma) | Secondary |
| 207Q00000X | Family Medicine | 0436385 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Angels Care Home Health | Chanute, KS | Home health agency |
| Fredonia Regional Hospital | Fredonia, KS | Hospital |
| Jane Phillips Memorial Medical Center, Inc | Bartlesville, OK | Hospital |
| Labette Health | Parsons, KS | Hospital |
| Windsor Place Llc | Coffeyville, KS | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coffeyville Regional Medical Center, Inc. | 9032108865 | 19 |
| Entity Name | Coffeyville Regional Medical Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265550891 PECOS PAC ID: 9032108865 Enrollment ID: O20040507000813 |
| Mailing Address | Practice Location Address |
|---|---|
| Shravan Kumar Reddy Gangula, MD 8337 E 81st St Apt 1237, Tulsa, OK 74133-8088 Ph: (615) 415-5392 | Shravan Kumar Reddy Gangula, MD 1400 W 4th St, Coffeyville, KS 67337-3306 Ph: (620) 688-6566 |
Dr. James Leroy Christensen, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 209 W 7th St, Coffeyville, KS 67337 Phone: 620-251-1100 Fax: 620-251-7466 | |
Mrs. Meggin Marie Blex, A.R.N.P. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1505 W 4th St, Coffeyville, KS 67337 Phone: 620-251-2400 Fax: 620-251-1619 | |
Ann Renee Taylor, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1400 W 4th St, Coffeyville, KS 67337 Phone: 620-688-6566 Fax: 620-688-6577 | |
Geeta Sandhu, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 801 W 8th St, Coffeyville, KS 67337 Phone: 620-251-4300 Fax: 620-251-4979 | |
Timothy A Belcher, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 W 4th Street, Coffeyville Regional Medical Center Er Department, Coffeyville, KS 67337 Phone: 620-252-1649 Fax: 620-252-1699 | |
Dr. Allen Dean Gillis, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 209 W 7th St, Coffeyville, KS 67337 Phone: 620-251-1100 Fax: 620-251-7466 |