Pavan Kumar Yalamanchili, | |
300 2nd Ave, Long Branch, NJ 07740-6303 | |
(732) 222-5200 | |
Not Available |
Full Name | Pavan Kumar Yalamanchili |
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Gender | Male |
Speciality | Internal Medicine - Infectious Disease |
Location | 300 2nd Ave, Long Branch, 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 |
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1366933566 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RI0200X | Internal Medicine - Infectious Disease | 25MA11747700 (New Jersey) | Primary |
Entity Name | Id Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639146277 PECOS PAC ID: 7719959998 Enrollment ID: O20101208000463 |
Mailing Address | Practice Location Address |
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Pavan Kumar Yalamanchili, 46 Gimbel Pl, Ocean, NJ 07712-2565 Ph: () - | Pavan Kumar Yalamanchili, 300 2nd Ave, Long Branch, NJ 07740-6303 Ph: (732) 222-5200 |
Dr. Rita Watson, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 215 Brighton Ave, Long Branch, NJ 07740 Phone: 732-222-1543 Fax: 732-774-9148 | |
Annapurna Lakshmi Sravanti Mandalika, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 300 2nd Ave, Long Branch, NJ 07740 Phone: 732-822-7639 | |
Montaser Alrjoob, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 300 2nd Ave, Long Branch, NJ 07740 Phone: 732-923-6501 | |
Sara Ghotb, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 300 2nd Ave, Long Branch, NJ 07740 Phone: 732-923-5000 | |
Eric Rehr, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: Monmouth Medical C Enter (emergency Department), 300 Second Avenue, Long Branch, NJ 07740 Phone: 732-923-7386 | |
Dr. Kenneth Mark Granet, M.D. Infectious Disease Medicare: Medicare Enrolled Practice Location: 166 Morris Ave, Long Branch, NJ 07740 Phone: 732-229-2020 Fax: 732-229-2255 | |
Glenn Alan Zwerin, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 133 Pavilion Ave, Long Branch, NJ 07740 Phone: 732-222-7650 Fax: 732-222-7850 |