Dr Srinivas Rao Mandavilli, MD | |
111 Founders Plz, #300 C/o Ipms, East Hartford, CT 06108-3212 | |
(860) 282-4137 | |
(860) 282-0170 |
Full Name | Dr Srinivas Rao Mandavilli |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 37 Years |
Location | 111 Founders Plz, East Hartford, Connecticut |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255312492 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 036761 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hartford Hospital | Hartford, CT | Hospital |
Charlotte Hungerford Hospital | Torrington, CT | Hospital |
Midstate Medical Center | Meriden, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hartford Pathology Associates Pc | 8729989561 | 33 |
Entity Name | Physicians For Women's Health, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801826680 PECOS PAC ID: 3274430665 Enrollment ID: O20031215000455 |
Entity Name | Hartford Pathology Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063464477 PECOS PAC ID: 8729989561 Enrollment ID: O20040115000745 |
Mailing Address | Practice Location Address |
---|---|
Dr Srinivas Rao Mandavilli, MD 111 Founders Plz, #300 C/o Ipms, East Hartford, CT 06108-3212 Ph: (860) 282-4137 | Dr Srinivas Rao Mandavilli, MD 111 Founders Plz, #300 C/o Ipms, East Hartford, CT 06108-3212 Ph: (860) 282-4137 |
Dr. Joseph Arthur Digiuseppe, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 111 Founders Plz, #300 C/o Ipms, East Hartford, CT 06108 Phone: 860-282-4137 Fax: 860-282-0170 | |
Edyta K Rotundo, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 111 Founders Plaza, Hartford Pathology Assocaites, P.c, Suite 300, East Hartford, CT 06108 Phone: 860-282-4022 | |
Dr. Bela S Mandavilli, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 111 Founders Plz, #300 C/o Ipms, East Hartford, CT 06108 Phone: 860-282-4137 Fax: 860-282-0170 | |
Dr. Mark Edward Ludwig, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 111 Founders Plz, #300 C/o Ipms, East Hartford, CT 06108 Phone: 860-282-4137 Fax: 860-282-0170 | |
Dr. Isil Yildiz, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 99 East River Dr, 5th Floor, East Hartford, CT 06108 Phone: 860-282-4133 Fax: 860-289-0746 | |
Dr. Richard Muller, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 111 Founders Plz, #300 C/o Ipms, East Hartford, CT 06108 Phone: 860-282-4137 Fax: 860-282-0170 |