| Sowmya Kanikkannan, MD | |
|
18 E Laurel Rd, Kennedy Hospital, Stratford, NJ 08084-1327 | |
| (856) 566-6845 | |
| (856) 566-6906 |
| Full Name | Sowmya Kanikkannan |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Location | 18 E Laurel Rd, Stratford, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639223050 | NPI | - | NPPES |
| 1018195960002 | Medicaid | PA | |
| 2094417 | Other | PA | HIGHMARK BLUE SHIELD |
| 1018195960003 | Medicaid | PA | |
| P01224369 | Other | NJ | RAILROAD MEDICARE |
| 2854908000 | Other | PA | INDEPENDENCE BCBS |
| 0342467 | Medicaid | NJ | |
| 1018195960001 | Medicaid | PA |
| Entity Name | Optum Medical Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321 |
| Entity Name | Albany Medical College |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629008537 PECOS PAC ID: 1759293111 Enrollment ID: O20031125000386 |
| Entity Name | Albany Medical College |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497921688 PECOS PAC ID: 1759293111 Enrollment ID: O20190320001621 |
| Mailing Address | Practice Location Address |
|---|---|
| Sowmya Kanikkannan, MD 18 E Laurel Rd, Kennedy Hospital, Stratford, NJ 08084-1327 Ph: (856) 566-6845 | Sowmya Kanikkannan, MD 18 E Laurel Rd, Kennedy Hospital, Stratford, NJ 08084-1327 Ph: (856) 566-6845 |
Michael Lee, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr Ste 162, Stratford, NJ 08084 Phone: 856-566-2753 | |
Dr. Imran Ahmad Khan, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 42 E Laurel Rd Ste 3100, Administrative Office, Stratford, NJ 08084 Phone: 856-566-6845 Fax: 856-566-6906 | |
Gloria Fontane Lam, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 18 E Laurel Rd, Stratford, NJ 08084 Phone: 856-218-5634 Fax: 856-218-5664 | |
Dr. Ricardo Perez, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 18 E Laurel Rd, Stratford, NJ 08084 Phone: 856-566-6845 Fax: 856-566-6906 | |
Daniel Artruo Espinosa, D.O. Hospitalist Medicare: Medicare Enrolled Practice Location: 42 E Laurel Rd, Stratford, NJ 08084 Phone: 856-566-2753 |