Manju A Mavanur, MD | |
22 S Greene St, Baltimore, MD 21201-1544 | |
(410) 706-4613 | |
(410) 706-4619 |
Full Name | Manju A Mavanur |
---|---|
Gender | Female |
Speciality | Nephrology |
Experience | 33 Years |
Location | 22 S Greene St, Baltimore, Maryland |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164434932 | NPI | - | NPPES |
036099600 | Medicaid | MD | |
S062-0484 | Other | MD | CAREFIRST BC/BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 044583 (Connecticut) | Secondary |
207RN0300X | Internal Medicine - Nephrology | D71314 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Davita - Owings Mills | Owings mills, MD | Dialysis facility |
Davita - Windsor Dialysis | Baltimore, MD | Dialysis facility |
Sinai Hospital Of Baltimore | Baltimore, MD | Hospital |
Medstar Union Memorial Hospital | Baltimore, MD | Hospital |
Northwest Hospital Center | Randallstown, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mid-atlantic Nephrology Associates Pa | 2769469006 | 63 |
Entity Name | University Of Maryland Physicians P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689623175 PECOS PAC ID: 2769394808 Enrollment ID: O20031105000792 |
Entity Name | Mid-atlantic Nephrology Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356390108 PECOS PAC ID: 2769469006 Enrollment ID: O20040702001212 |
Mailing Address | Practice Location Address |
---|---|
Manju A Mavanur, MD Po Box 64442, Baltimore, MD 21264-4442 Ph: (410) 706-4613 | Manju A Mavanur, MD 22 S Greene St, Baltimore, MD 21201-1544 Ph: (410) 706-4613 |
Dr. Leonard Anang Sowah, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 22 S Greene St, Baltimore, MD 21201 Phone: 410-706-4619 Fax: 410-706-2062 | |
Dr. Bhavandeep Singh Bajaj, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3345 Wilkens Avenue, Suite L10, Baltimore, MD 21229 Phone: 410-644-4444 Fax: 410-644-4484 | |
Dr. Yonas Sisay, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 822 Guilford Ave, #100, Baltimore, MD 21202 Phone: 410-385-9672 | |
Dr. Stephen John Witanowski, MD Nephrology Medicare: Medicare Enrolled Practice Location: 2700 Quarry Lake Dr, Suite 280, Baltimore, MD 21209 Phone: 410-469-5544 Fax: 410-585-2867 | |
Dr. Susrutha Kotwal, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4940 Eastern Ave, Mfl Bldg, West Tower, 6th Floor, Baltimore, MD 21224 Phone: 410-550-5018 | |
Dr. Mitesh G Trambadia, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 6701 N Charles St Ste 5218, Baltimore, MD 21204 Phone: 443-849-3786 | |
Ronak K Patel, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 201 E University Pkwy, Baltimore, MD 21218 Phone: 410-554-2000 |