| Venkata C Mallu, MD | |
|
707 N Houston Rd, Warner Robins, GA 31093-2101 | |
| (478) 922-4010 | |
| Not Available |
| Full Name | Venkata C Mallu |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 27 Years |
| Location | 707 N Houston Rd, Warner Robins, Georgia |
| 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 |
|---|---|---|---|
| 1598949547 | NPI | - | NPPES |
| 586433793 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 062252 (Georgia) | Secondary |
| 207R00000X | Internal Medicine | 062252 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medical Center, Navicent Health (the) | Macon, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Magna Care Medical Specialists Llc | 9638463003 | 7 |
| Entity Name | Hospital Physician Services - Southeast Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20060419000545 |
| Entity Name | Apogee Medical Group Georgia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629025143 PECOS PAC ID: 4587676945 Enrollment ID: O20060629000214 |
| Entity Name | Magna Care Medical Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487002382 PECOS PAC ID: 9638463003 Enrollment ID: O20160808001242 |
| Entity Name | Muscogee Hospitalist Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639681851 PECOS PAC ID: 8921368564 Enrollment ID: O20180130003094 |
| Entity Name | Benning Hospitalist Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215442173 PECOS PAC ID: 5698038479 Enrollment ID: O20180409000613 |
| Entity Name | Houston Hospitalist Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962040147 PECOS PAC ID: 2769813906 Enrollment ID: O20200504000786 |
| Mailing Address | Practice Location Address |
|---|---|
| Venkata C Mallu, MD 101 Royal Crest Cir, Kathleen, GA 31047-2144 Ph: (478) 319-5962 | Venkata C Mallu, MD 707 N Houston Rd, Warner Robins, GA 31093-2101 Ph: (478) 922-4010 |
Dr. Richard Lyndon Smith Jr., M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1260 Russell Pkwy, Warner Robins, GA 31088 Phone: 478-929-4100 Fax: 478-329-8814 | |
Preethi Mereddy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1719 Russell Pkwy Ste 700, Warner Robins, GA 31088 Phone: 478-328-7674 Fax: 478-328-1393 | |
Bilal Rauf Khan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1654 Watson Blvd, Warner Robins, GA 31093 Phone: 478-225-9882 Fax: 478-293-1217 | |
Navin Taneja, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Hospital Dr, Warner Robins, GA 31088 Phone: 478-225-9983 Fax: 478-225-9981 | |
Dr. Gary Myrthil, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 107 Osigian Blvd Ste 100, Warner Robins, GA 31088 Phone: 478-953-2212 Fax: 478-953-2228 | |
Dr. John C Sams, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1719 Russell Pkwy Ste 700, Warner Robins, GA 31088 Phone: 478-328-7674 | |
Dr. Daniel Oliver Fussell, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1201 Briarcliff Rd., Warner Robins, GA 31088 Phone: 478-922-6413 |