Chandragowda Kallanagowdar

MD | Pediatric Adolescent Medicine | Male

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Complete Profile:

Chandragowda Kallanagowdar basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Adolescent Medicine
Provider Name :	Chandragowda Kallanagowdar
Credential :	MD
Gender :	Male

Business Address:

Chandragowda Kallanagowdar address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1500 Sw 10th Ave Topeka, KS, 66604-1301 United States
Phone Number :	785-354-5242
Fax Number :	785-354-6349

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1689637977
NPI Entity Type :	Individual
First Enrolment Date :	09 Apr, 2006
Last Updated On :	05 Jun, 2014

Medicare Participation:

Chandragowda Kallanagowdar participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	5193901593
Medicare Enrollment ID :	I20190612003741
Primary Specialty :	Hospitalist
Medical School :	Other
Graduation Year :	1991
Accepts Medicare?	Yes. Chandragowda Kallanagowdar accepts medicare insurance.

Group Practice Association:

Chandragowda Kallanagowdar is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Chandragowda Kallanagowdar is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Yuma Regional Medical Center	2062314826	256	2400 S Ave A Yuma, AZ - 853647127 Ph: 9283442000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Chandragowda Kallanagowdar are as mentioned. Primary taxonomy code for Chandragowda Kallanagowdar, MD is 2080A0000X (Pediatrics Adolescent Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
2080A0000X	Pediatrics Adolescent Medicine	Yes	04-31705	KS

Legacy Identifiers:

Other legacy medical identifiers of Chandragowda Kallanagowdar such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
200383710C	MEDICAID	KS
KA2129016	Other	KS	MEDICARE PTAN

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1500 Sw 10th Ave Topeka, KS, 66604-1301 United States
Phone Number :	785-354-5242
Fax Number :	785-354-6349

Business Location:

Patients can refer following map for directions to Chandragowda Kallanagowdar practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.