Nishanth Sukumaran (NPI# 1538328844, PAC ID# 4183790157) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
Nation Provider ID (NPI) | 1538328844 |
PAC ID by PECOS | 4183790157 |
Professional Enrollment ID | I20130702000153 |
Full Name | Nishanth Sukumaran |
Organization Legal Name | VIRGINIA CANCER INSTITUTE INCORPORATED |
Address |
210 Medical Park Blvd Suite 200 Petersburg VA 23805-0002 |
Phone Number | 8044311100 |
Gender | M |
Graduation Year | 1998 |
Primary Specialty | HEMATOLOGY/ONCOLOGY |
Secondary Specialties | HEMATOLOGY |
Group Practice PAC ID | 8628048378 |
Number of Group Practice Members | 36 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
490067 | SOUTHSIDE REGIONAL MEDICAL CENTER |
490020 | JOHN RANDOLPH MEDICAL CENTER |
490112 | CJW MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
210 Medical Park Blvd, Suite 200, Petersburg, VA 23805-0002 | 8044311100 | VIRGINIA CANCER INSTITUTE INCORPORATED |
4730 Puddledock Rd, Suite 100, Prince George, VA 23875-1274 | 8044523850 | VIRGINIA CANCER INSTITUTE INCORPORATED |
Organization Legal Name | VIRGINIA CANCER INSTITUTE INCORPORATED |
Physicians | 41 |
Name | Specialty | Organization | Address |
---|---|---|---|
Bryan Johnson | General Surgery | Virginia Cancer Institute Incorporated | 10710 Midlothian Tpke, Suite 138, North Chesterfield, VA 23235-4766 |
Nathan E Langer | Hematology/oncology | Virginia Cancer Institute Incorporated | 210 Medical Park Blvd, Suite 200, Petersburg, VA 23805-0002 |
Brenna Bohatec | Nurse Practitioner | Virginia Cancer Institute Incorporated | 4730 Puddledock Rd, Suite 100, Prince George, VA 23875-1237 |
Will R Voelzke | Hematology/oncology | Virginia Cancer Institute Incorporated | 1401 Johnston Willis Dr, Suite 100, North Chesterfield, VA 23235-4730 |
Bonnie P Johnson | Nurse Practitioner | Virginia Cancer Institute Incorporated | 6130 Harbourside Centre Loop, Suite 101, Midlothian, VA 23112-2104 |
David F Trent | Hematology/oncology | Virginia Cancer Institute Incorporated | 6605 W Broad St, Suite A, Richmond, VA 23230-1715 |
Seaborn M Wade Iii | Hematology/oncology | Virginia Cancer Institute Incorporated | 7501 Right Flank Rd, Suite 600, Mechanicsville, VA 23116-3863 |
Gabriel Mccoy | Hematology/oncology | Virginia Cancer Institute Incorporated | 6130 Harbourside Centre Loop, Suite 101, Midlothian, VA 23112-2104 |
Pablo M Gonzalez | Hematology/oncology | Virginia Cancer Institute Incorporated | 1401 Johnston Willis Dr, Suite 100, North Chesterfield, VA 23235-4730 |
Gisa A Schunn | Hematology/oncology | Virginia Cancer Institute Incorporated | 1401 Johnston Willis Dr, Suite 100, North Chesterfield, VA 23235-4730 |
Street Address |
210 MEDICAL PARK BLVD SUITE 200 |
City | PETERSBURG |
State | VA |
Zip | 23805-0002 |
Name | Specialty | Organization | Address |
---|---|---|---|
Nathan E Langer | Hematology/oncology | Virginia Cancer Institute Incorporated | 210 Medical Park Blvd, Suite 200, Petersburg, VA 23805-0002 |
Sujatha Yellinedi | Medical Oncology | Virginia Cancer Institute Incorporated | 210 Medical Park Blvd, Suite 200, Petersburg, VA 23805-0002 |
Shobha R Nalluri | Hematology/oncology | Virginia Cancer Institute Incorporated | 210 Medical Park Blvd, Suite 200, Petersburg, VA 23805-0002 |
Yogesh K Gandhi | Hematology | Virginia Cancer Institute Incorporated | 210 Medical Park Blvd, Suite 200, Petersburg, VA 23805-0002 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tanikka Mason | Clinical Social Worker | 2002 Wakefield Ave, Petersburg, VA 23805-2112 | |
Joseph W Siko Jr. | Podiatry | 2020 Wakefield Ave, Petersburg, VA 23805-2112 | |
Samuel W Person | Podiatry | 2020 Wakefield St, Petersburg, VA 23805-2112 | |
Nadeem Faruqi | Cardiovascular Disease (cardiology) | Dominion Cardiology PC | 2731 S Crater Rd, Petersburg, VA 23805-2403 |
Edwan T Kibot | Nurse Practitioner | Dominion Cardiology PC | 2731 S Crater Rd, Petersburg, VA 23805-2403 |
Islam A Al-howaidi | Interventional Cardiology | Dominion Cardiology PC | 2731 S Crater Rd, Petersburg, VA 23805-2403 |
Robert Joaquin Foster | Optometry | Legacy Eye Care | 3500 S Crater Rd, Petersburg, VA 23805-9204 |
Krishna Rao Kudaravalli | Obstetrics/gynecology | Southside Physician Network LLC | 3335 S Crater Rd, Petersburg, VA 23805-9214 |
Paul J Meyers | Obstetrics/gynecology | Southside Physician Network LLC | 3335 S Crater Rd, Petersburg, VA 23805-9214 |
Miguel Vega-gilormini | Obstetrics/gynecology | Southside Physician Network LLC | 3335 S Crater Rd, Petersburg, VA 23805-9214 |
Find all physicians in zip 23805 |
City | PETERSBURG |
Zip Code | 23805 |
Specialty | HEMATOLOGY/ONCOLOGY |
City + Specialty | PETERSBURG + HEMATOLOGY/ONCOLOGY |
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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.