Raghava Shree Kavalla, MD | |
1505 W Sherman Ave, Vineland, NJ 08360-7059 | |
(856) 845-0100 | |
Not Available |
Full Name | Raghava Shree Kavalla |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1505 W Sherman Ave, Vineland, 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 |
---|---|---|---|
1891109203 | NPI | - | NPPES |
272925 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25MA10962500 (New Jersey) | Primary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 272925 (Massachusetts) | Secondary |
Entity Name | Nemours New Jersey Physician Practice Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265874713 PECOS PAC ID: 4486871159 Enrollment ID: O20140805000413 |
Mailing Address | Practice Location Address |
---|---|
Raghava Shree Kavalla, MD Po Box 191, Rockland, DE 19732-0191 Ph: () - | Raghava Shree Kavalla, MD 1505 W Sherman Ave, Vineland, NJ 08360-7059 Ph: (856) 845-0100 |
Trupti Pandit, Pediatrics Medicare: Medicare Enrolled Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360 Phone: 856-845-0100 Fax: 302-651-4945 | |
Michael A Rosenberg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1318 S Main Road, Vineland, NJ 08360 Phone: 856-691-8585 Fax: 856-691-8489 | |
Sabitu Christina Alofoje, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2950 College Dr Ste 2c, Vineland, NJ 08360 Phone: 856-692-6000 | |
Olabode O Ogidan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1138 E Chestnut Ave, Vineland, NJ 08360 Phone: 856-692-1108 Fax: 856-692-2077 | |
Dr. Rolande Alam Mirone, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1318 S Main Rd, Building 1, Vineland, NJ 08360 Phone: 856-691-8585 Fax: 856-691-8489 | |
David B Rosenberg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1318 S Main Road, Vineland, NJ 08360 Phone: 856-691-8585 Fax: 856-691-8489 | |
Dr. Charrell Moyo Bird, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1505 W Sherman Ave, Pediatrix Medical Group, Vineland, NJ 08360 Phone: 856-845-0100 Fax: 302-651-4945 |