| Vijay K Kolli, MD | |
|
1111 N Lee Ave Ste 249, Oklahoma City, OK 73103-2600 | |
| (405) 594-5848 | |
| (054) 594-5847 |
| Full Name | Vijay K Kolli |
|---|---|
| Gender | Male |
| Speciality | Infectious Disease |
| Experience | 28 Years |
| Location | 1111 N Lee Ave Ste 249, Oklahoma City, Oklahoma |
| 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 |
|---|---|---|---|
| 1013017292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 28955 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Genesis Healthcare,llc | Durant, OK | Home health agency |
| Norman Regional | Norman, OK | Hospital |
| Ssm Health St Anthony Hospital - Oklahoma City | Oklahoma city, OK | Hospital |
| Oklahoma Heart Hospital South, Llc | Oklahoma city, OK | Hospital |
| Alliancehealth Midwest | Midwest city, OK | Hospital |
| Oklahoma Heart Hospital, Llc | Oklahoma city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allied Wound Care Specialist Pllc | 5698195360 | 12 |
| Crescent Infectious Diseases Pllc | 8820222847 | 7 |
| Entity Name | Crescent Infectious Diseases Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538501028 PECOS PAC ID: 8820222847 Enrollment ID: O20131007000930 |
| Entity Name | Allied Wound Care Specialist Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497361273 PECOS PAC ID: 5698195360 Enrollment ID: O20201019001492 |
| Mailing Address | Practice Location Address |
|---|---|
| Vijay K Kolli, MD 1104e State Highway 152, Mustang, OK 73064-5116 Ph: (855) 541-2862 | Vijay K Kolli, MD 1111 N Lee Ave Ste 249, Oklahoma City, OK 73103-2600 Ph: (405) 594-5848 |
Evelyn Lorents, MD Infectious Disease Medicare: May Accept Medicare Assignments Practice Location: 920 Sl Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-5963 | |
Patrick Bronson Reeves, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 3366 Nw Expressway Ste 550, Oklahoma City, OK 73112 Phone: 405-942-5442 Fax: 405-942-6448 | |
Dr. Jake Lee Evans, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 Phone: 405-271-5963 | |
Dr. Shawn Patel, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 1200 Childrens Ave Ste 14000, Oklahoma City, OK 73104 Phone: 405-271-5211 | |
Metri Haddaden, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 800 Stanton L Young Blvd # 8425, Oklahoma City, OK 73104 Phone: 405-271-6173 Fax: 410-554-2184 | |
Divya Sharma Divyadarshini, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 800 Stanton L Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-5963 | |
Dr. Philip Barton Miner, Jr., M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 1000 N Lincoln Blvd, Suite 210, Oklahoma City, OK 73104 Phone: 405-271-4644 Fax: 405-271-3296 |