| Venkat Pavan Reddy Kancharla, MD | |
|
20 San Filippo Dr Se, Palm Bay, FL 32909-2200 | |
| (321) 725-8300 | |
| (321) 725-1555 |
| Full Name | Venkat Pavan Reddy Kancharla |
|---|---|
| Gender | Male |
| Speciality | Medical Oncology |
| Experience | 27 Years |
| Location | 20 San Filippo Dr Se, Palm Bay, Florida |
| 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 |
|---|---|---|---|
| 1205091758 | NPI | - | NPPES |
| 004704200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RX0202X | Internal Medicine - Medical Oncology | ME112590 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holmes Regional Medical Center | Melbourne, FL | Hospital |
| Palm Bay Hospital | Palm bay, FL | Hospital |
| Viera Hospital | Melbourne, FL | Hospital |
| Melbourne Regional Medical Center | Melbourne, FL | Hospital |
| Steward Sebastian River Medical Center | Sebastian, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cancer Care Centers Of Brevard Inc | 3274435102 | 17 |
| Entity Name | Cancer Care Centers Of Brevard Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467551762 PECOS PAC ID: 3274435102 Enrollment ID: O20040122000315 |
| Mailing Address | Practice Location Address |
|---|---|
| Venkat Pavan Reddy Kancharla, MD Po Box 534595, Atlanta, GA 30353-4595 Ph: (321) 725-8300 | Venkat Pavan Reddy Kancharla, MD 20 San Filippo Dr Se, Palm Bay, FL 32909-2200 Ph: (321) 725-8300 |
Mark C Dillon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1421 Malabar Rd Ne Ste 201, Palm Bay, FL 32907 Phone: 321-434-8423 Fax: 321-434-8148 | |
Merle S Lewis, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1425 Malabar Rd Ne, Palm Bay, FL 32907 Phone: 321-434-8078 Fax: 321-434-8075 | |
Dr. Francis Lamothe, MD PA Internal Medicine Medicare: Medicare Enrolled Practice Location: 5270 Babcock St Ne, Suite 1, Palm Bay, FL 32905 Phone: 321-722-5959 Fax: 321-722-5960 | |
Zafar Iqbal Sharar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1421 Malabar Rd Ne, Suite 210, Palm Bay, FL 32907 Phone: 321-434-8140 Fax: 321-434-8143 | |
Leonard Grecul, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1421 Malabar Rd Ne Ste 201, Palm Bay, FL 32907 Phone: 321-434-8531 Fax: 321-434-8533 | |
Neil Kairsingh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1810 Eldron Blvd Se, Palm Bay, FL 32909 Phone: 321-312-3466 Fax: 321-434-8143 |