Dr Nevindra N Mangru, MD | |
155 Hospital Rd, Suite E, Winchester, TN 37398-2494 | |
(931) 962-0672 | |
(931) 967-7818 |
Full Name | Dr Nevindra N Mangru |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 155 Hospital Rd, Winchester, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780636126 | NPI | - | NPPES |
3099893 | Medicaid | TN | |
3118089 | Other | TN | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD27640 (Tennessee) | Primary |
Entity Name | Amg-southern Tennessee Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164789467 PECOS PAC ID: 5991765943 Enrollment ID: O20041013001206 |
Mailing Address | Practice Location Address |
---|---|
Dr Nevindra N Mangru, MD 155 Hospital Rd, Suite E, Winchester, TN 37398-2494 Ph: (931) 962-0672 | Dr Nevindra N Mangru, MD 155 Hospital Rd, Suite E, Winchester, TN 37398-2494 Ph: (931) 962-0672 |
Dr. Jolanta Szczarkowska, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 155 Hospital Rd, Suite E, Winchester, TN 37398 Phone: 931-962-0672 Fax: 931-967-7818 | |
Dr. Mary Delphine Heath, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 568 Hospital Rd, Winchester, TN 37398 Phone: 931-962-3199 Fax: 931-967-7818 | |
Dr. Nilesh Dhirubhai Dankhara, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 155 Hospital Rd, Suite E, Winchester, TN 37398 Phone: 931-962-0672 |