Roengsak Tulathimutte, MD | |
575 Beech St, Anesthesia Dept, Holyoke, MA 01040-2223 | |
(413) 534-2845 | |
Not Available |
Full Name | Roengsak Tulathimutte |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 575 Beech St, Holyoke, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073627600 | NPI | - | NPPES |
HX4518 | Other | MA | MEDICARE ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 47834 (Massachusetts) | Primary |
Entity Name | Holyoke Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992923486 PECOS PAC ID: 2163419383 Enrollment ID: O20051219000359 |
Mailing Address | Practice Location Address |
---|---|
Roengsak Tulathimutte, MD 22 S Sycamore Knls, South Hadley, MA 01075-1112 Ph: (413) 534-8985 | Roengsak Tulathimutte, MD 575 Beech St, Anesthesia Dept, Holyoke, MA 01040-2223 Ph: (413) 534-2845 |
Dr. Yuri Khibkin, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10 Hospital Dr Ste 103, Holyoke, MA 01040 Phone: 134-535-4933 Fax: 413-535-4934 | |
Susan Anti, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 575 Beech St, Holyoke, MA 01040 Phone: 413-534-2500 | |
Rebekah Scotch, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 575 Beech St, Anesthesia Dept, Holyoke, MA 01040 Phone: 413-534-2845 Fax: 413-540-5053 | |
Dr. Manelly C Capriles, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 575 Beech Street, Dept. Of Anesthesia, Holyoke, MA 01040 Phone: 413-534-2578 | |
Jose D. Castillo, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 575 Beech St, Holyoke, MA 01040 Phone: 413-534-2845 Fax: 413-540-5053 | |
Jose Alfredo Flores, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 575 Beech St, Anesthesia Dept, Holyoke, MA 01040 Phone: 413-534-2845 Fax: 413-534-2504 |