Chandra S Reddivari, MD | |
500 Faunce Corner Rd, North Dartmouth, MA 02747-1278 | |
(508) 973-3200 | |
(508) 973-3215 |
Full Name | Chandra S Reddivari |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 500 Faunce Corner Rd, North Dartmouth, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477522290 | NPI | - | NPPES |
177806 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 152438 (Massachusetts) | Primary |
Entity Name | Southcoast Physicians Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20040920000138 |
Mailing Address | Practice Location Address |
---|---|
Chandra S Reddivari, MD 200 Mill Road, Suite 180, Fairhaven, MA 02719-5252 Ph: (508) 973-2000 | Chandra S Reddivari, MD 500 Faunce Corner Rd, North Dartmouth, MA 02747-1278 Ph: (508) 973-3200 |
Gregory D. Russell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 49 State Rd, North Dartmouth, MA 02747 Phone: 508-973-6650 Fax: 508-973-0345 | |
Curtis J. Mello, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 370 Faunce Corner Rd, North Dartmouth, MA 02747 Phone: 508-999-5666 Fax: 508-999-5151 | |
David J Shih, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 537 Faunce Corner Rd, North Dartmouth, MA 02747 Phone: 508-996-3991 Fax: 508-961-0876 | |
David Stebbins, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 49 State Road, Pequot Bldg, Ste 104, North Dartmouth, MA 02747 Phone: 508-973-6650 Fax: 508-973-0345 | |
Mr. Michael J Rocha, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 535 Faunce Corner Rd, Hawthorn Medical Assoicates, North Dartmouth, MA 02747 Phone: 508-996-3991 | |
Slawomir Pajak, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 537 Faunce Corner Rd, North Dartmouth, MA 02747 Phone: 508-996-3991 | |
Mark R. Desnoyers, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 49 State Road, Pequot Bldg, Ste 104, North Dartmouth, MA 02740 Phone: 508-973-6650 Fax: 508-973-0345 |