Sriramakrishna Rao Koganti, MD | |
350 Hospital Dr, Macon, GA 31217-3838 | |
(478) 751-0367 | |
Not Available |
Full Name | Sriramakrishna Rao Koganti |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 350 Hospital Dr, Macon, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003443615 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 89686 (Georgia) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Southland Consolidated Emergency Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174917124 PECOS PAC ID: 2860792066 Enrollment ID: O20151119001289 |
Mailing Address | Practice Location Address |
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Sriramakrishna Rao Koganti, MD 380 Hospital Dr Ste 430, Macon, GA 31217-8017 Ph: (478) 751-0367 | Sriramakrishna Rao Koganti, MD 350 Hospital Dr, Macon, GA 31217-3838 Ph: (478) 751-0367 |
Sam G Amporful, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 721 Riverside Drive Lane, Macon, GA 31201 Phone: 478-259-3439 Fax: 478-254-2733 | |
Dr. Allison Harriott, MD MPH Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Hospital Dr, Macon, GA 31217 Phone: 478-765-7000 | |
Dr. Philip Enrique Chung, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1550 College St, Macon, GA 31207 Phone: 678-790-0729 | |
Lisa Kirkland, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 350 Hospital Dr, Macon, GA 31217 Phone: 770-994-9326 Fax: 770-994-4747 | |
Lloyd Harrington, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 777 Hemlock St, Msc 10, Macon, GA 31201 Phone: 478-633-7707 | |
Dr. Daryl Franklin Remick, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3448 Vineville Ave, Macon, GA 31204 Phone: 478-405-0045 Fax: 478-405-0054 |