Mohan Madhusudanan, MD | |
3435 Bailey Ave, Buffalo, NY 14215-1145 | |
(716) 835-2966 | |
Not Available |
Full Name | Mohan Madhusudanan |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 22 Years |
Location | 3435 Bailey Ave, Buffalo, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548308463 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD425581 (Pennsylvania) | Secondary |
174400000X | Specialist | 255870 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital Of Buffalo | Buffalo, NY | Hospital |
Mount St. Mary's Hospital & Health Center | Lewiston, NY | Hospital |
Sisters Of Charity Hospital | Buffalo, NY | Hospital |
Kenmore Mercy Hospital | Kenmore, NY | Hospital |
Kaleida Health | Buffalo, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mount St. Marys Hospital Of Niagara Falls | 4082523790 | 56 |
Trinity Medical Wny Pc | 5193907517 | 128 |
Sisters Of Charity Hospital Of Buffalo New York | 6204749153 | 106 |
Kenmore Mercy Hospital | 7517870462 | 41 |
Mercy Hospital Of Buffalo | 8729991666 | 158 |
Entity Name | Sisters Of Charity Hospital Of Buffalo New York |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790727543 PECOS PAC ID: 6204749153 Enrollment ID: O20031126000557 |
Entity Name | Kenmore Mercy Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770598104 PECOS PAC ID: 7517870462 Enrollment ID: O20040319000138 |
Entity Name | Mount St. Marys Hospital Of Niagara Falls |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043394745 PECOS PAC ID: 4082523790 Enrollment ID: O20040403000031 |
Entity Name | Mercy Hospital Of Buffalo |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164464921 PECOS PAC ID: 8729991666 Enrollment ID: O20040702001253 |
Entity Name | Trinity Medical Wny Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295043149 PECOS PAC ID: 5193907517 Enrollment ID: O20110307000596 |
Mailing Address | Practice Location Address |
---|---|
Mohan Madhusudanan, MD 3435 Bailey Ave, Buffalo, NY 14215-1145 Ph: (716) 835-2966 | Mohan Madhusudanan, MD 3435 Bailey Ave, Buffalo, NY 14215-1145 Ph: (716) 835-2966 |