Kiranmayi Tadi, MD | |
175 Madison Ave, Mount Holly, NJ 08060-2038 | |
(609) 914-6180 | |
(609) 914-6182 |
Full Name | Kiranmayi Tadi |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 175 Madison Ave, Mount Holly, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366689382 | NPI | - | NPPES |
0212512 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 25MA08610300 (New Jersey) | Primary |
Entity Name | Practice Associates Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427016385 PECOS PAC ID: 5890703177 Enrollment ID: O20060330000690 |
Entity Name | Rwjbh Emergency Medicine Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912510041 PECOS PAC ID: 0941612840 Enrollment ID: O20201217002547 |
Mailing Address | Practice Location Address |
---|---|
Kiranmayi Tadi, MD 401 Route 73 N, 40 Lake Center Drive Suite 201a, Marlton, NJ 08053-3425 Ph: (856) 355-0340 | Kiranmayi Tadi, MD 175 Madison Ave, Mount Holly, NJ 08060-2038 Ph: (609) 914-6180 |
Sharon Franklin Castellino, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 175 Madison Ave, Mount Holly, NJ 08060 Phone: 609-914-6180 Fax: 609-914-6182 | |
Jyothi Jagadeesh, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 175 Madison Ave, Mount Holly, NJ 08060 Phone: 609-914-6180 Fax: 609-914-6182 | |
Amara Nidimusili, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 175 Madison Ave, Mount Holly, NJ 08060 Phone: 609-914-6000 Fax: 609-914-6182 | |
Dr. Caroline Michelle Ropiak, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 175 Madison Ave, Mount Holly, NJ 08060 Phone: 609-914-6000 | |
Dr. Michael A Lawandy, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 175 Madison Ave, Mount Holly, NJ 08060 Phone: 609-914-6180 Fax: 609-914-6182 | |
Dr. Sabeeha Nisar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 175 Madison Ave, Mount Holly, NJ 08060 Phone: 609-914-6180 Fax: 609-914-6182 | |
Shahjahan Nisar Chaudhry, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 175 Madison Ave, Mount Holly, NJ 08060 Phone: 609-914-6000 Fax: 609-914-6182 |