| Sriharsha Gowtham, MD | |
|
1919 Lathrop St Ste 100, Fairbanks, AK 99701-5937 | |
| (907) 459-3570 | |
| (907) 459-3510 |
| Full Name | Sriharsha Gowtham |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 9 Years |
| Location | 1919 Lathrop St Ste 100, Fairbanks, Alaska |
| 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 |
|---|---|---|---|
| 1043747587 | NPI | - | NPPES |
| 1731611 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 191517 (Alaska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairbanks Memorial Hospital Home Care | Fairbanks, AK | Home health agency |
| Fairbanks Memorial Hospital | Fairbanks, AK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tanana Valley Clinic Llc | 5698056901 | 142 |
| Entity Name | Tanana Valley Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922559558 PECOS PAC ID: 5698056901 Enrollment ID: O20161228001991 |
| Mailing Address | Practice Location Address |
|---|---|
| Sriharsha Gowtham, MD Po Box 73720, Fairbanks, AK 99707-3720 Ph: Not Available | Sriharsha Gowtham, MD 1919 Lathrop St Ste 100, Fairbanks, AK 99701-5937 Ph: (907) 459-3570 |
Dr. Nicholas Paul Cosentino, D.O Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-458-5358 |
Dr. Bovey Jingzhu Wu, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-458-5178 Fax: 907-458-5180 |
Jeffrey A Partnow, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-458-5178 Fax: 907-458-5180 |
Dr. Arva Yahua Chiu, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1626 30th Ave, Fairbanks, AK 99701 Phone: 907-452-2637 Fax: 877-410-0865 |
Dr. Daniel Kechker, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1650 Cowles St, Hospitalists Office, Fairbanks, AK 99701 Phone: 907-458-5178 Fax: 907-458-5180 |
Dr. Romel C Wrenn, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-458-6450 Fax: 907-458-6430 |
Daniel Michael Strum, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1717 W Cowles St, Fairbanks, AK 99701 Phone: 907-451-6682 |