Dr Vasudevarao Mandava, MD | |
18 Market St, Suite C, Mount Clemens, MI 48043 | |
(586) 783-2222 | |
(586) 783-6280 |
Full Name | Dr Vasudevarao Mandava |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 18 Market St, Mount Clemens, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073501821 | NPI | - | NPPES |
1096276 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | VM031566 (Michigan) | Primary |
Entity Name | Iris B Daniel Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255421020 PECOS PAC ID: 3870594963 Enrollment ID: O20070116000051 |
Mailing Address | Practice Location Address |
---|---|
Dr Vasudevarao Mandava, MD 6800 E 10 Mile Rd, Center Line, MI 48015-1167 Ph: (586) 619-9986 | Dr Vasudevarao Mandava, MD 18 Market St, Suite C, Mount Clemens, MI 48043 Ph: (586) 783-2222 |
Akhlema Paru Haidar, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8142 Fax: 586-493-3250 | |
Japjit Kaur Serai, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-3727 | |
Robert A Chang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 133 S Main St, Mount Clemens, MI 48043 Phone: 586-468-1600 Fax: 586-465-0329 | |
Jayne Olivia Mitchell, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000 | |
Misha Kaur Chowdhary, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-3727 | |
Travis Singh Sekhon, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-3727 |