| Southeastern Intensivist Services PC | |
|
2100 N 7th St West Memphis AR 72301-2017 | |
| (870) 733-3020 | |
| Not Available |
| Full Name | Southeastern Intensivist Services PC |
|---|---|
| Speciality | Hospitalist |
| Location | 2100 N 7th St, West Memphis, Arkansas |
| Authorized Official Name and Position | Randal L Dabbs (PRESIDENT) |
| Authorized Official Contact | 8656931000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Intensivist Services PC Po Box 635134 Cincinnati OH 45263-5134 | Southeastern Intensivist Services PC 2100 N 7th St West Memphis AR 72301-2017 Ph: (870) 733-3020 |
| NPI Number | 1912942665 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 11/28/2018 |
| Medicare PECOS PAC ID | 9335152107 |
|---|---|
| Medicare Enrollment ID | O20181213000964 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912942665 | NPI | - | NPPES |
| 3733831 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 208M00000X | Hospitalist | () | Primary |
| Provider Name | Praveen Chowdary Kanneganti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710116801 PECOS PAC ID: 0143486811 Enrollment ID: I20120724000872 |
| Provider Name | Goda Damera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275841595 PECOS PAC ID: 4486801073 Enrollment ID: I20120905000105 |
| Provider Name | Rajesh Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396155719 PECOS PAC ID: 7416204367 Enrollment ID: I20190123002243 |
| Provider Name | Satyanarayana Raja Pusapati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871780874 PECOS PAC ID: 1052504297 Enrollment ID: I20190402001488 |
| Provider Name | Joseph Bynum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558651919 PECOS PAC ID: 4688812373 Enrollment ID: I20191007002527 |
| Provider Name | Sachin Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629483110 PECOS PAC ID: 6901179746 Enrollment ID: I20200824000742 |
| Provider Name | Julianna Curtis Mcklemurry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366839870 PECOS PAC ID: 9638423056 Enrollment ID: I20210301001313 |
| Provider Name | Brendan M Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932588407 PECOS PAC ID: 4082921291 Enrollment ID: I20210318002583 |
| Provider Name | Sheharyar Sohail Minhas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427578608 PECOS PAC ID: 6608294236 Enrollment ID: I20210401000592 |
| Provider Name | Muneeba Qayyum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609228568 PECOS PAC ID: 7416288089 Enrollment ID: I20210414001695 |
| Provider Name | Latonya Turner Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578875894 PECOS PAC ID: 0345478434 Enrollment ID: I20210722002730 |
| Provider Name | Meera Reddy Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548604044 PECOS PAC ID: 3476857996 Enrollment ID: I20221012003999 |
| Provider Name | Jacob Anthony Bezold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821651282 PECOS PAC ID: 7113251745 Enrollment ID: I20251028000037 |
| Provider Name | Ashutosh K Mishra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942262829 PECOS PAC ID: 6204729353 Enrollment ID: I20251204003612 |
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