| Sujan Kumar Vadarevu, MD | |
|
1410 N 4th St, Clinton, IA 52732-2940 | |
| (563) 244-5555 | |
| Not Available |
| Full Name | Sujan Kumar Vadarevu |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 20 Years |
| Location | 1410 N 4th St, Clinton, Iowa |
| 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 |
|---|---|---|---|
| 1073824306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | MD-41937 (Iowa) | Primary |
| 207Q00000X | Family Medicine | MD-41937 (Iowa) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Medical Center - Cedar Rapids | Cedar rapids, IA | Hospital |
| University Of Iowa Health Care Medical Center | Iowa city, IA | Hospital |
| Mercy Medical Center Cedar Rapids Ia | Cedar rapids, IA | Inpatient rehabilitation facility |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cogent Healthcare Of Iowa Pc | 3779517941 | 60 |
| Entity Name | Cogent Healthcare of Iowa PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982654497 PECOS PAC ID: 3779517941 Enrollment ID: O20050927000304 |
| Mailing Address | Practice Location Address |
|---|---|
| Sujan Kumar Vadarevu, MD 1410 N 4th St, Clinton, IA 52732-2940 Ph: (563) 244-5555 | Sujan Kumar Vadarevu, MD 1410 N 4th St, Clinton, IA 52732-2940 Ph: (563) 244-5555 |
Dr. Sasidhar Somuri, M.D Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1410 N 4th St, Clinton, IA 52732 Phone: 563-244-5555 |
Ahmed Khaleel Quasem, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1410 N 4th St, Clinton, IA 52732 Phone: 563-244-5695 |