| Vinod Kondragunta, | |
|
200 High Park Ave, Goshen, IN 46526-4810 | |
| (574) 364-2888 | |
| (574) 364-2890 |
| Full Name | Vinod Kondragunta |
|---|---|
| Gender | Male |
| Speciality | Hematology/oncology |
| Experience | 12 Years |
| Location | 200 High Park Ave, Goshen, Indiana |
| 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 |
|---|---|---|---|
| 1588906168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | W0942 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Presence Saint Joseph Hospital - Chicago | Chicago, IL | Hospital |
| The University Of Chicago Medical Center | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The University Of Chicago | 7719899426 | 1421 |
| Entity Name | University Of Chicago |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094 |
| Entity Name | The University Of Chicago Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031106000203 |
| Mailing Address | Practice Location Address |
|---|---|
| Vinod Kondragunta, 194 Brookwood Dr, Charlottesville, VA 22902-6092 Ph: (804) 926-9600 | Vinod Kondragunta, 200 High Park Ave, Goshen, IN 46526-4810 Ph: (574) 364-2888 |
Archana Patel, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2016 S Main St, Ste B, Goshen, IN 46526 Phone: 574-537-1625 Fax: 574-537-9384 | |
Dr. Milton E Gibson, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 1920 Whispering Pines Ct, Goshen, IN 46526 Phone: 574-286-0491 Fax: 574-291-8797 | |
Dr. Salim A Jaffer, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1615 Winsted Dr Ste 2, Goshen, IN 46526 Phone: 574-537-1625 | |
Dr. David C Kay, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2024 Dorchester Ct, Suite 2, Goshen, IN 46526 Phone: 574-537-1626 Fax: 574-364-2939 | |
Dr. Farid Jalinous, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1855 S Main St Ste A, Goshen, IN 46526 Phone: 574-533-7476 | |
Dr. Djavid Hadian, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1855 S Main St Ste A, Goshen, IN 46526 Phone: 574-533-7476 Fax: 574-533-7145 | |
Dr. Ebenezer Kio, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 200 High Park Ave, Goshen, IN 46526 Phone: 574-364-2888 Fax: 574-364-2480 |