Pavani Dantala, MD | |
1 Medical Center Dr, Middletown, OH 45005-2584 | |
(513) 705-4754 | |
(513) 420-5156 |
Full Name | Pavani Dantala |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 27 Years |
Location | 1 Medical Center Dr, Middletown, Ohio |
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 |
---|---|---|---|
1902009152 | NPI | - | NPPES |
3077674 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 35095144 (Ohio) | Secondary |
207R00000X | Internal Medicine | 35.095144 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Atrium Medical Center | Franklin, OH | Hospital |
Miami Valley Hospital | Dayton, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hisey Physician Services, Llc | 8426495292 | 57 |
Mvhe Inc | 9537066584 | 327 |
Entity Name | Mvhe Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659504785 PECOS PAC ID: 9537066584 Enrollment ID: O20031217000553 |
Entity Name | Hisey Physician Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073380614 PECOS PAC ID: 8426495292 Enrollment ID: O20240328002362 |
Mailing Address | Practice Location Address |
---|---|
Pavani Dantala, MD 1 Medical Center Dr, Middletown, OH 45005-2584 Ph: (513) 705-4754 | Pavani Dantala, MD 1 Medical Center Dr, Middletown, OH 45005-2584 Ph: (513) 705-4754 |
Dr. Clifford Quinn Cabansag, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 4302 Roosevelt Blvd, Middletown, OH 45044 Phone: 513-433-1032 Fax: 513-433-1245 | |
Lotfi F Mamlouk, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6730 Roosevelt Ave Ste 303, Middletown, OH 45005 Phone: 513-874-0486 Fax: 513-280-8868 | |
Ali Usmani, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 Mcknight Dr, Suite A, Middletown, OH 45044 Phone: 513-217-6400 Fax: 513-217-6037 | |
Scott Lawrence Zollett, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 Medical Center Dr, Suite 490, Middletown, OH 45005 Phone: 513-424-1291 Fax: 513-424-9422 | |
Stephen Houff, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 105 Mcknight Dr, Middletown, OH 45044 Phone: 330-493-4443 Fax: 330-493-8677 | |
Stephen R Moore, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1040 Summitt Sq, Middletown, OH 45042 Phone: 513-425-0533 Fax: 513-425-0527 | |
Gary C Brown, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 Mcknight Dr, Suite A, Middletown, OH 45044 Phone: 513-217-6400 Fax: 513-217-6037 |