Dr Kanti L Havaldar, MD | |
2016 S Main St, Maryville, MO 64468-2655 | |
(660) 562-2525 | |
(660) 562-7993 |
Full Name | Dr Kanti L Havaldar |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 2016 S Main St, Maryville, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588668297 | NPI | - | NPPES |
200529519 | Medicaid | MO | |
2937201 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | R7142 (Missouri) | Primary |
Entity Name | Mosaic Medical Center - Maryville |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184189797 PECOS PAC ID: 3678813896 Enrollment ID: O20190405001537 |
Mailing Address | Practice Location Address |
---|---|
Dr Kanti L Havaldar, MD 114 E South Hills Dr, Maryville, MO 64468-2659 Ph: (660) 562-2525 | Dr Kanti L Havaldar, MD 2016 S Main St, Maryville, MO 64468-2655 Ph: (660) 562-2525 |
Dr. Lisa G. Distefano, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2016 S Main St, Maryville, MO 64468 Phone: 660-562-2525 Fax: 660-562-7993 | |
Dr. Amrit P. Singh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 114 E South Hills Dr, Maryville, MO 64468 Phone: 660-562-2525 Fax: 562-260-3403 | |
Dr. David Steele, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: St. Francis Hospital, Emergency Department, 2016 South Main St, Maryville, MO 64468 Phone: 660-562-7918 |