Dr Vandana Laxmi Madhavan, MD | |
175 Cambridge St, Cpzs-546, Massgeneral Hospital For Children, Boston, MA 02114-2743 | |
(617) 643-0722 | |
(617) 643-0395 |
Full Name | Dr Vandana Laxmi Madhavan |
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Gender | Female |
Speciality | Pediatrics |
Location | 175 Cambridge St, Boston, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265407993 | NPI | - | NPPES |
2103214 | Medicaid | MA | |
J28679 | Other | MA | BCBS MA |
468282 | Other | MA | TUFTS HEALTH PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 223881 (Massachusetts) | Primary |
Entity Name | Massachusetts General Physicians Organization Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
Entity Name | North Shore Physicians Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588606123 PECOS PAC ID: 3577467224 Enrollment ID: O20050429000668 |
Entity Name | The General Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
Entity Name | The Shriners Hospital For Children |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285078444 PECOS PAC ID: 5496947301 Enrollment ID: O20131219000781 |
Mailing Address | Practice Location Address |
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Dr Vandana Laxmi Madhavan, MD 175 Cambridge St, Cpzs-546, Massgeneral Hospital For Children, Boston, MA 02114-2743 Ph: (617) 643-0722 | Dr Vandana Laxmi Madhavan, MD 175 Cambridge St, Cpzs-546, Massgeneral Hospital For Children, Boston, MA 02114-2743 Ph: (617) 643-0722 |
Puja Banka, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Bader 203, Boston, MA 02115 Phone: 617-355-6363 | |
Angela M. Jacques, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 Phone: 617-726-2066 | |
Dr. Elizabeth S Taglauer, M.D., PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Cailyn Hereen Rood, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Dr. Alon Peltz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Miki Nishitani, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Vickren Pillay, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 |