Harohalli R Shashidhar, MD | |
275 Mammoth Rd, Suite 1, Manchester, NH 03109-4133 | |
(603) 663-3222 | |
Not Available |
Full Name | Harohalli R Shashidhar |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Gastroenterology |
Location | 275 Mammoth Rd, Manchester, New Hampshire |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164457560 | NPI | - | NPPES |
32000745 | Medicaid | NH | |
64018575 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0206X | Pediatrics - Pediatric Gastroenterology | 34403 (Kentucky) | Secondary |
2080P0206X | Pediatrics - Pediatric Gastroenterology | 15360 (New Hampshire) | Primary |
Entity Name | Elliot Professional Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285627935 PECOS PAC ID: 6103727920 Enrollment ID: O20040115000634 |
Mailing Address | Practice Location Address |
---|---|
Harohalli R Shashidhar, MD 275 Mammoth Rd, Manchester, NH 03109-4133 Ph: (603) 663-3222 | Harohalli R Shashidhar, MD 275 Mammoth Rd, Suite 1, Manchester, NH 03109-4133 Ph: (603) 663-3222 |
Dr. Rebecca Harnish Murphy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Hitchcock Way, Manchester, NH 03104 Phone: 603-695-2750 | |
Dr. Sol Rockenmacher, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Hitchcock Way, Manchester, NH 03104 Phone: 603-695-2500 | |
Susan M Strahosky, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 275 Mammoth Rd Ste 1, Manchester, NH 03109 Phone: 603-663-3222 Fax: 603-663-3229 | |
Dr. Barbara Nan Samuels, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 275 Mammoth Rd Ste 1, Manchester, NH 03109 Phone: 036-663-8285 | |
Dr. Pia Maalouf, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 275 Mammoth Rd Ste 1, Manchester, NH 03109 Phone: 603-663-3222 | |
Holly P. Mintz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 275 Mammoth Rd, Suite #1, Manchester, NH 03109 Phone: 603-663-8350 Fax: 603-663-8399 | |
Jennifer L Steichen, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1 Elliot Way, Manchester, NH 03103 Phone: 603-669-5300 |