| Suryanarayana Reddy Challa, | |
|
324 E 10th Ave, Salt Lake City, UT 84103-2853 | |
| (801) 408-7500 | |
| Not Available |
| Full Name | Suryanarayana Reddy Challa |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Gastroenterology |
| Location | 324 E 10th Ave, Salt Lake City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356830533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 326897 (New York) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | 14118251 (Utah) | Primary |
| Entity Name | New York University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20081202000185 |
| Entity Name | New York University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
| Mailing Address | Practice Location Address |
|---|---|
| Suryanarayana Reddy Challa, 324 E 10th Ave, Salt Lake City, UT 84103-2853 Ph: (901) 408-7500 | Suryanarayana Reddy Challa, 324 E 10th Ave, Salt Lake City, UT 84103-2853 Ph: (801) 408-7500 |
Dr. Mehmet Akkaya, M.D Gastroenterology Medicare: Medicare Enrolled Practice Location: University Of Utah Hospital Cardiology, 3o N,1900 E, Rm:4a100, Salt Lake City, UT 84132 Phone: 801-505-1689 | |
Dr. Willard Dere, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 500 Foothill Blvd, Salt Lake City, UT 84148 Phone: 801-582-1565 | |
Megan Meier, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121 | |
Siddharth K. Iyengar, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606 | |
Taryn A. Young, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Salt Lake City, UT 84107 Phone: 801-507-4384 Fax: 801-507-4398 | |
David C. Haak, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-585-3580 | |
Kellen A. Sullivan, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606 |