Pavan K Thangudu, MD | |
4300 Londonderry Rd, Harrisburg, PA 17109-5317 | |
(717) 231-8772 | |
(717) 231-8435 |
Full Name | Pavan K Thangudu |
---|---|
Gender | Male |
Speciality | Critical Care (intensivists) |
Experience | 15 Years |
Location | 4300 Londonderry Rd, Harrisburg, Pennsylvania |
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 |
---|---|---|---|
1679898829 | NPI | - | NPPES |
103118689 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD457573 (Pennsylvania) | Secondary |
207RC0200X | Internal Medicine - Critical Care Medicine | R1661 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Seasons Hospice & Palliative Care Of Texas - Houst | Houston, TX | Hospice |
Memorial Hermann Hospital System | Houston, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wael Asi Md Pa | 8820082233 | 25 |
Entity Name | Wael Asi Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851342794 PECOS PAC ID: 8820082233 Enrollment ID: O20040409000024 |
Entity Name | Texas Ips Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629368535 PECOS PAC ID: 9638356801 Enrollment ID: O20110616000075 |
Entity Name | Baylor College Of Medicine |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881026664 PECOS PAC ID: 8022243971 Enrollment ID: O20131030000972 |
Mailing Address | Practice Location Address |
---|---|
Pavan K Thangudu, MD 21 Spurs Ln, Ste 230b, San Antonio, TX 78240-1671 Ph: (210) 690-7400 | Pavan K Thangudu, MD 4300 Londonderry Rd, Harrisburg, PA 17109-5317 Ph: (717) 231-8772 |
Lindsey Marie Govern, DO Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 810 Sir Thomas Ct Ste 101, Harrisburg, PA 17109 Phone: 717-614-4420 Fax: 717-614-4421 | |
Quan Tran, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-231-8772 | |
Richard Haley Jeffries, DO Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 4830 Londonderry Rd, Harrisburg, PA 17109 Phone: 717-657-2595 Fax: 717-657-3091 | |
Joanne G Gordon, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-782-3380 Fax: 717-782-5716 | |
Dr. David Edward Dudick, M.D. Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 111 S Front St, Internal Medicine Residency Program, Brady Hall 3, Harrisburg, PA 17101 Phone: 717-782-3131 | |
Emily Ramasra, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-231-8506 | |
Dr. Dominic Joseph Pinciotti, DO Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 4830 Londonderry Rd, Harrisburg, PA 17109 Phone: 717-657-2595 Fax: 717-657-3091 |