Siva Santosh Kumar Gandu, MD | |
215 Brightwater Dr, Lillington, NC 27546-5156 | |
(910) 892-1000 | |
Not Available |
Full Name | Siva Santosh Kumar Gandu |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 215 Brightwater Dr, Lillington, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821627241 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 2023-00908 (North Carolina) | Secondary |
207R00000X | Internal Medicine | 2023-00908 (North Carolina) | Primary |
Entity Name | Novant Health Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
Entity Name | Cogent Healthcare Of North Carolina Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548207483 PECOS PAC ID: 7911954714 Enrollment ID: O20050404001057 |
Entity Name | Unc Physicians Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750704367 PECOS PAC ID: 5496940546 Enrollment ID: O20101115000646 |
Mailing Address | Practice Location Address |
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Siva Santosh Kumar Gandu, MD 5221 Paramount Pkwy Ste 220, Morrisville, NC 27560-5490 Ph: (910) 215-4111 | Siva Santosh Kumar Gandu, MD 215 Brightwater Dr, Lillington, NC 27546-5156 Ph: (910) 892-1000 |
Rodolfo C Reyes, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 S 10th St, Lillington, NC 27546 Phone: 910-893-4111 | |
Dr. William Keith Studley, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 86 Parkside Dr, Lillington, NC 27546 Phone: 602-796-3913 | |
Mazze Tshimanga, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 215 Brightwater Dr, Lillington, NC 27546 Phone: 910-892-1000 | |
Dr. Asif Zia, MD, MPH Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7 E Duncan St, Lillington, NC 27546 Phone: 910-814-1212 | |
Madhuri V Vithala, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 215 Brightwater Dr Ste 1221, Lillington, NC 27546 Phone: 910-984-3080 Fax: 910-615-9776 | |
Jessica Swavely, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 215 Brightwater Dr, Lillington, NC 27546 Phone: 910-829-1000 |