Raja S Mahidhara, MD | |
3900 St Francis Way Ste 200, Lafayette, IN 47905-4940 | |
(765) 775-2800 | |
Not Available |
Full Name | Raja S Mahidhara |
---|---|
Gender | Male |
Speciality | Critical Care (intensivists) |
Experience | 28 Years |
Location | 3900 St Francis Way Ste 200, Lafayette, Indiana |
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 |
---|---|---|---|
1689771016 | NPI | - | NPPES |
201037400 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 01070300A (Indiana) | Secondary |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 01070300A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Long Beach Memorial Medical Center | Long beach, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Inpatient Specialists Of California Pc | 3476864448 | 309 |
Entity Name | Inpatient Specialists Of California Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952792475 PECOS PAC ID: 3476864448 Enrollment ID: O20150617000915 |
Mailing Address | Practice Location Address |
---|---|
Raja S Mahidhara, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Raja S Mahidhara, MD 3900 St Francis Way Ste 200, Lafayette, IN 47905-4940 Ph: (765) 775-2800 |
Dr. Hartmuth Bruno Bittner, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3900 St Francis Way Ste 200, Lafayette, IN 47905 Phone: 765-775-2800 | |
Dr. Michael Jay Scott Sheridan, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 1116 N 16th St Ste A, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-8807 | |
Dr. Thomas X Aufiero, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1176 N. 16th Street, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-8085 | |
Dr. Kok H Lim, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 5177 Mccarty Ln, Lafayette, IN 47905 Phone: 317-923-1787 Fax: 317-962-0853 | |
Kenneth Samuel Stone, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1116 N 16th St, Suite A, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-8054 | |
Dr. Douglas Charles Wallace, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 3900 St Francis Way, Ste 201, Lafayette, IN 47905 Phone: 765-446-7981 Fax: 765-446-7982 |