| 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 |
| Experience | 6 Years |
| Location | 215 Brightwater Dr, Lillington, North Carolina |
| 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 |
|---|---|---|---|
| 1821627241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2023-00908 (North Carolina) | Secondary |
| 208M00000X | Hospitalist | 2023-00908 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Nash General Hospital | Rocky mount, NC | Hospital |
| Unc Lenoir Health Care | Kinston, NC | Hospital |
| Vidant Medical Center | Greenville, NC | Hospital |
| Halifax Regional Medical Center Inc | Roanoke rapids, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cogent Healthcare Of North Carolina Pc | 7911954714 | 69 |
| Cumberland County Hospital System Inc | 1850204041 | 605 |
| Entity Name | Novant Health Medical Group, Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
Kishan Ramesh Darji, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 215 Brightwater Dr, Lillington, NC 27546 Phone: 910-892-1000 | |
Dr. William Keith Studley, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 86 Parkside Dr, Lillington, NC 27546 Phone: 602-796-3913 |