Venkata C Mallu (NPI# 1598949547, PAC ID# 9931251725) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1598949547 |
| PAC ID by PECOS | 9931251725 |
| Professional Enrollment ID | I20090708000482 |
| Full Name | Venkata C Mallu |
| Organization Legal Name | MAGNA CARE MEDICAL SPECIALISTS LLC |
| Address |
350 Hospital Dr Macon GA 31217-3838 |
| Phone Number | 4787657000 |
| Gender | M |
| Graduation Year | 1998 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9638463003 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110107 | MEDICAL CENTER, NAVICENT HEALTH (THE) |
| 110164 | COLISEUM MEDICAL CENTERS, LLC, DBA |
| 110150 | NAVICENT HEALTH BALDWIN |
| 110069 | HOUSTON MEDICAL CENTER |
| 110092 | DODGE COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 350 Hospital Dr, Macon, GA 31217-3838 | 4787657000 | MAGNA CARE MEDICAL SPECIALISTS LLC |
| Organization Legal Name | MAGNA CARE MEDICAL SPECIALISTS LLC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Iris A Kelly | Hospitalist | Magna Care Medical Specialists LLC | 350 Hospital Dr, Macon, GA 31217-3838 |
| Huma A Arain | Internal Medicine | Magna Care Medical Specialists LLC | 350 Hospital Dr, Macon, GA 31217-3838 |
| Heather Nicole Self | Nurse Practitioner | Magna Care Medical Specialists LLC | 777 Hemlock St, Macon, GA 31201-2102 |
| Almatmed Abdelsalam | Internal Medicine | Magna Care Medical Specialists LLC | 777 Hemlock St, Macon, GA 31201-2102 |
| Kantilal L Patel | Internal Medicine | Magna Care Medical Specialists LLC | 350 Hospital Dr, Macon, GA 31217-3838 |
| Chinyere Daisy Anyakudo | Family Medicine | Magna Care Medical Specialists LLC | 350 Hospital Dr, Macon, GA 31217-3838 |
| Robert Perry | Nurse Practitioner | Magna Care Medical Specialists LLC | 777 Hemlock St, Macon, GA 31201-2102 |
| Maria Christina M Barfield | Nurse Practitioner | Magna Care Medical Specialists LLC | 777 Hemlock St, Macon, GA 31201-2102 |
| Ngozi I Ezeh | Family Medicine | Magna Care Medical Specialists LLC | 350 Hospital Dr, Macon, GA 31217-3838 |
| Russell James Dunn | Nurse Practitioner | Magna Care Medical Specialists LLC | 777 Hemlock St, Macon, GA 31201-2102 |
| Street Address |
350 HOSPITAL DR |
| City | MACON |
| State | GA |
| Zip | 31217-3838 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine D Lallos | Anesthesiology | Intensive Care Consortium Inc | 350 Hospital Dr, Macon, GA 31217-3838 |
| Sarah Hamler | Pathology | Integrated Regional Laboratories Pathology Services, LLC | 350 Hospital Dr, Macon, GA 31217-3838 |
| Angela Penix | Nurse Practitioner | Acs Primary Care Physicians - Southeast PC | 350 Hospital Dr, Macon, GA 31217-3838 |
| Michael B Evans | Neurology | Coliseum Primary Care Services, LLC | 350 Hospital Dr, Macon, GA 31217-3838 |
| Robert P Wright | Internal Medicine | Intensive Care Consortium Inc | 350 Hospital Dr, Macon, GA 31217-3838 |
| Iris A Kelly | Hospitalist | Magna Care Medical Specialists LLC | 350 Hospital Dr, Macon, GA 31217-3838 |
| Steven Cannady | Nurse Practitioner | Family Health Care of Camden, Inc | 350 Hospital Dr, Camden, TN 38320-1650 |
| Veera V Pavuluri | Internal Medicine | Cogent Healthcare of Georgia PC | 350 Hospital Dr, Macon, GA 31217-3838 |
| Huma A Arain | Internal Medicine | Magna Care Medical Specialists LLC | 350 Hospital Dr, Macon, GA 31217-3838 |
| Antoinette Mariano-sabido | Physician Assistant | Intensive Care Consortium Inc | 350 Hospital Dr, Macon, GA 31217-3838 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Farhan Siddiqui | Internal Medicine | 535 Coliseum Dr, Macon, GA 31217-0104 | |
| Eulanda L Waller | Occupational Therapy | Waller Occupational Therapy and Consulting, LLC | 315 Christina Ct, Macon, GA 31217-1331 |
| Harold P Katner | Internal Medicine | 180 Emery Hwy, Macon, GA 31217-3656 | |
| Julie Sanders | Nurse Practitioner | River Edge Behavioral Health Center | 175 Emery Hwy, Macon, GA 31217-3692 |
| Sujatha K Reddy | Psychiatry | River Edge Behavioral Health Center | 175 Emery Hwy, Macon, GA 31217-3692 |
| Stephanie M Welch | Nurse Practitioner | River Edge Behavioral Health Center | 175 Emery Hwy, Macon, GA 31217-3692 |
| Rita A Judy | Clinical Social Worker | River Edge Behavioral Health Center | 175 Emery Hwy, Macon, GA 31217-3692 |
| Jacquelyn D. Owens | Certified Clinical Nurse Specialist (cns) | River Edge Behavioral Health Center | 175 Emery Hwy, Macon, GA 31217-3692 |
| Theresa Courtney | Pediatric Medicine | River Edge Behavioral Health Center | 175 Emery Hwy, Macon, GA 31217-3692 |
| Richard L Elliott | Psychiatry | River Edge Behavioral Health Center | 175 Emery Hwy, Macon, GA 31217-3692 |
| Find all physicians in zip 31217 | |||
| City | MACON |
| Zip Code | 31217 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MACON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Venkata C Mallu.
| 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.