| Venkata Sandeep Koripalli, MD, | |
|
700 E Marshall Ave, Longview, TX 75601-5580 | |
| (903) 315-3588 | |
| Not Available |
| Full Name | Venkata Sandeep Koripalli |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 13 Years |
| Location | 700 E Marshall Ave, Longview, Texas |
| 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 |
|---|---|---|---|
| 1013390723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | MD-45045 (Iowa) | Secondary |
| 208M00000X | Hospitalist | 30951 (Nebraska) | Secondary |
| 208M00000X | Hospitalist | T1752 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi Health Immanuel | Omaha, NE | Hospital |
| Chi Health Midlands | Papillion, NE | Hospital |
| The Nebraska Medical Center | Omaha, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alegent Creighton Clinic | 1951210418 | 890 |
| Alegent Creighton Clinic | 1951210418 | 890 |
| Entity Name | Alegent Creighton Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548287907 PECOS PAC ID: 1951210418 Enrollment ID: O20040407001314 |
| Mailing Address | Practice Location Address |
|---|---|
| Venkata Sandeep Koripalli, MD, 700 E Marshall Ave, Longview, TX 75601-5580 Ph: (903) 315-3588 | Venkata Sandeep Koripalli, MD, 700 E Marshall Ave, Longview, TX 75601-5580 Ph: (903) 315-3588 |
Harold R Taylor, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2901 N 4th St, Longview, TX 75605 Phone: 903-232-3675 | |
Dr. Sathiraju Undavalli, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-1488 | |
Dr. Ezza Tariq, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2000 | |
Chinwe Okafor, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-1488 | |
Dr. Kwame Boakye Agyeman, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-1488 Fax: 903-315-1656 | |
Dr. Tejo Ramam Challa, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-1488 Fax: 903-315-1656 |