Dr Deepa Mukundan, MD | |
2150 W Central Ave Fl 2, Toledo, OH 43606-3834 | |
(419) 291-5599 | |
(419) 291-6468 |
Full Name | Dr Deepa Mukundan |
---|---|
Gender | Female |
Speciality | Pediatrics - Pediatric Infectious Diseases |
Location | 2150 W Central Ave Fl 2, Toledo, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023111200 | NPI | - | NPPES |
2694731 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0208X | Pediatrics - Pediatric Infectious Diseases | 35-088176 (Ohio) | Primary |
Entity Name | University Of Toledo Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942296033 PECOS PAC ID: 8729983416 Enrollment ID: O20031205000019 |
Entity Name | Mercy Health Physicians-north Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609000769 PECOS PAC ID: 2668522400 Enrollment ID: O20090616000750 |
Entity Name | Mercy Health Physicians North Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306468418 PECOS PAC ID: 1951707884 Enrollment ID: O20210901001534 |
Entity Name | Northwest Pediatric Specialists, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033709100 PECOS PAC ID: 6709279276 Enrollment ID: O20220204000359 |
Mailing Address | Practice Location Address |
---|---|
Dr Deepa Mukundan, MD 4510 Dorr St # Ms 840, Toledo, OH 43615-4040 Ph: (419) 383-5334 | Dr Deepa Mukundan, MD 2150 W Central Ave Fl 2, Toledo, OH 43606-3834 Ph: (419) 291-5599 |
Erica Devries, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2142 N Cove Blvd, 5-north Pediatrics, Toledo, OH 43606 Phone: 419-291-4000 Fax: 419-479-6102 | |
Dr. Lysa Marleen Aemmer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2213 Franklin Ave, Toledo, OH 43620 Phone: 419-251-2415 | |
Robert W Mills, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7629 Kings Pointe Rd, Toledo, OH 43617 Phone: 419-841-6202 Fax: 419-841-6338 | |
Robert Jan Salzman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3715 Airport Highway, Suite H, Toledo, OH 43615 Phone: 419-389-1444 Fax: 419-389-6755 | |
Dr. David Geisinger, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2142 N Cove Blvd, Toledo, OH 43606 Phone: 419-291-4000 | |
Brian S Bradley, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2142 N Cove Blvd, Toledo, OH 43606 Phone: 419-291-4225 Fax: 419-479-6193 |