Kamal Kishore Mandalapu (NPI# 1689817041, PAC ID# 9739330606) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1689817041 |
| PAC ID by PECOS | 9739330606 |
| Professional Enrollment ID | I20180810002237 |
| Full Name | Kamal Kishore Mandalapu |
| Organization Legal Name | WELLSTAR MEDICAL GROUP, LLC |
| Address |
100 Market Place Blvd Suite 102 Cartersville GA 30121-8715 |
| Phone Number | 6787215555 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Secondary Specialties | MEDICAL ONCOLOGY |
| Group Practice PAC ID | 6709065402 |
| Number of Group Practice Members | 1320 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110143 | WELLSTAR COBB HOSPITAL |
| 110035 | WELLSTAR KENNESTONE HOSPITAL |
| 110184 | WELLSTAR DOUGLAS HOSPITAL |
| 110042 | WELLSTAR PAULDING HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 100 Market Place Blvd, Suite 102, Cartersville, GA 30121-8715 | 6787215555 | WELLSTAR MEDICAL GROUP, LLC |
| Organization Legal Name | WELLSTAR MEDICAL GROUP, LLC |
| Physicians | 1338 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phong Hoang Do | Family Medicine | Wellstar Medical Group, LLC | 5150 Stilesboro N W Rd, Suite 220, Kennesaw, GA 30152-7742 |
| Francheska Desravines Alcide | Family Medicine | Wellstar Medical Group, LLC | 687 Marietta Hwy, Canton, GA 30114-2608 |
| Marcus J Gates | Neurosurgery | Wellstar Medical Group, LLC | 625 Church Nest, Marietta, GA 30060-1101 |
| Nimota A Adeboye | Nurse Practitioner | Wellstar Medical Group, LLC | 3886 Princeton Lakes Way Sw, Atlanta, GA 30331-5511 |
| Vanessa Jill Lancaster | Nurse Practitioner | Wellstar Medical Group, LLC | 1360 Upper Hembree Rd, Roswell, GA 30076-1230 |
| Janna Williams-pitts | Psychologist, Clinical | Wellstar Medical Group, LLC | 3805 Cherokee Nwst, Kennesaw, GA 30144-2085 |
| Abhishek Kumar Singh | Family Medicine | Wellstar Medical Group, LLC | 121 Marble Mill N W Rd, Suite 101, Marietta, GA 30060-7959 |
| Khuram Ashraf | Internal Medicine | Wellstar Medical Group, LLC | 6043 Prestley Mill Rd C, Douglasville, GA 30134-2280 |
| Jonathan Noel Dodd | Psychologist, Clinical | Wellstar Medical Group, LLC | 3939 Roswell Rd, Marietta, GA 30062-6285 |
| Matthew Charles Agan | Neurology | Wellstar Medical Group, LLC | 780 Canton Rd Ne, Suite 400, Marietta, GA 30060-7298 |
| Street Address |
100 MARKET PLACE BLVD SUITE 102 |
| City | CARTERSVILLE |
| State | GA |
| Zip | 30121-8715 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dora E Mciver | Physician Assistant | Northwest Georgia Dermatology and Skin Surgery Center PC | 100 Market Place Blvd, Suite 300, Cartersville, GA 30121-8717 |
| Aman Mongia | Internal Medicine | Center for Infectious Diseases LLC | 100 Market Place Blvd, Suite 207, Cartersville, GA 30121-8716 |
| Anu Mongia | Allergy/immunology | Center for Infectious Diseases LLC | 100 Market Place Blvd, Suite 207, Cartersville, GA 30121-8716 |
| Keith R Harris | Dermatology | Northwest Georgia Dermatology and Skin Surgery Center PC | 100 Market Place Blvd, Suite 300, Cartersville, GA 30121-8717 |
| Alexandra D Tuuk | Physician Assistant | Northwest Georgia Oncology Centers, PC | 100 Market Place Blvd, Suite 200, Cartersville, GA 30121-8716 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Irene Ibenyenwa | Nurse Practitioner | 22 Maple Ridge Dr, Cartersville, GA 30121-2228 | |
| Larry R Brown | Optometry | 101 Market Place Blvd, Cartersville, GA 30121-2236 | |
| Meredith Duggan | Nurse Practitioner | Peachtree Immediate Care Fp, LLC | 122 N Morningside Dr, Cartersville, GA 30121-2912 |
| Jason Salisbury | Physical Therapy | Physiotherapy Associates Inc | 110 Cherokee Pl, Cartersville, GA 30121-2954 |
| Ansley Della Taylor | Physical Therapy | Physiotherapy Associates Inc | 110 Cherokee Pl, Cartersville, GA 30121-2954 |
| Shraddha Patel | Physical Therapy | Physiotherapy Associates Inc | 110 Cherokee Pl, Cartersville, GA 30121-2954 |
| Amana Eliora Andrews | Family Medicine | Eastside Urgent Care LLC | 10 Main St Market Pl Se, Cartersville, GA 30121-3309 |
| David E Kim | Internal Medicine | 491 E Main St, Cartersville, GA 30121-3353 | |
| Margaret Ladell Conley | Clinical Social Worker | 24 A Falcon Cir Nw, Cartersville, GA 30121-7362 | |
| Jacqueline K Foley | Occupational Therapy | Hand Therapy Services Inc | 12 Medical Dr Ne, Cartersville, GA 30121-8002 |
| Find all physicians in zip 30121 | |||
| City | CARTERSVILLE |
| Zip Code | 30121 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | CARTERSVILLE + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Kamal Kishore Mandalapu.
| 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.