Prabhakorn Kitbhoka (NPI# 1679703045, PAC ID# 9739300146) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1679703045 |
| PAC ID by PECOS | 9739300146 |
| Professional Enrollment ID | I20170503000600 |
| Full Name | Prabhakorn Kitbhoka |
| Organization Legal Name | NEPHROLOGY PHYSICIANS, LLC |
| Address |
710 Park Pl Mishawaka IN 46545-3519 |
| Phone Number | 57427367871235 |
| Gender | M |
| Graduation Year | 2005 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 1850289273 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150018 | ELKHART GENERAL HOSPITAL |
| 150012 | SAINT JOSEPH REGIONAL MEDICAL CENTER |
| 150026 | GOSHEN HOSPITAL |
| 150058 | MEMORIAL HOSPITAL OF SOUTH BEND |
| 150133 | KOSCIUSKO COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 710 Park Pl, Mishawaka, IN 46545-3519 | 57427367871235 | NEPHROLOGY PHYSICIANS, LLC |
| Organization Legal Name | NEPHROLOGY PHYSICIANS, LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark S Borenstein | Interventional Radiology | Nephrology Physicians, LLC | 250 E Day Rd, Suite 300, Mishawaka, IN 46545-3471 |
| Sudhir Vyakaranam | Internal Medicine | Nephrology Physicians, LLC | 820 Waterbury Park Dr, Elkhart, IN 46517-2339 |
| Jon T Harman | Interventional Radiology | Nephrology Physicians, LLC | 250 E Day Rd, Suite 300, Mishawaka, IN 46545-3471 |
| Lily K Sunio | Neurology | Nephrology Physicians, LLC | 820 Waterbury Park Dr, Elkhart, IN 46517-2339 |
| Swarupa R Eskapalli | Internal Medicine | Nephrology Physicians, LLC | 710 Park Pl, Mishawaka, IN 46545-3519 |
| Henry Wu | Nephrology | Nephrology Physicians, LLC | 820 Waterbury Park Dr, Elkhart, IN 46517-2339 |
| James L Porile | Nephrology | Nephrology Physicians, LLC | 820 Waterbury Park Dr, Elkhart, IN 46517-2339 |
| Sanjay Mohindra | Diagnostic Radiology | Nephrology Physicians, LLC | 710 Park Pl, Mishawaka, IN 46545-3519 |
| Street Address |
710 PARK PL |
| City | MISHAWAKA |
| State | IN |
| Zip | 46545-3519 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Swarupa R Eskapalli | Internal Medicine | Nephrology Physicians, LLC | 710 Park Pl, Mishawaka, IN 46545-3519 |
| Sanjay Mohindra | Diagnostic Radiology | Nephrology Physicians, LLC | 710 Park Pl, Mishawaka, IN 46545-3519 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marielvea A Banks | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Sean R Horner | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Rami Musleh | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Meghan M Barrus | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Ann M Grubb | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Duane M Wampler | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Eugene Huang | Emergency Medicine | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Steven D Whaley | Anesthesiology | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Angela Blagojevski | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Danny E Winn | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Find all physicians in zip 46545 | |||
| City | MISHAWAKA |
| Zip Code | 46545 |
| Specialty | NEPHROLOGY |
| City + Specialty | MISHAWAKA + NEPHROLOGY |
Please comment or provide details below to improve the information on Prabhakorn Kitbhoka.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.