Shanmuga Priya Jothi, MD | |
3801 Bellemeade Ave Ste 200e, Evansville, IN 47714-0114 | |
(812) 485-7240 | |
Not Available |
Full Name | Shanmuga Priya Jothi |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 3801 Bellemeade Ave Ste 200e, Evansville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699181040 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 078149 (Georgia) | Secondary |
208000000X | Pediatrics | 01093762A (Indiana) | Primary |
Entity Name | Southside Medical Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235123993 PECOS PAC ID: 6901700723 Enrollment ID: O20031212000357 |
Mailing Address | Practice Location Address |
---|---|
Shanmuga Priya Jothi, MD 3801 Bellemeade Ave Ste 200e, Evansville, IN 47714-0114 Ph: () - | Shanmuga Priya Jothi, MD 3801 Bellemeade Ave Ste 200e, Evansville, IN 47714-0114 Ph: (812) 485-7240 |
Dr. Mohammad I Hussain, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 801 St Marys Dr, Suite 203 E, Evansville, IN 47714 Phone: 812-479-8566 | |
Dr. Carol Lynn Berseth, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 401 Park Plaza Dr, Evansville, IN 47715 Phone: 812-471-8984 | |
William Selby, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 7220 E Virginia St, Evansville, IN 47715 Phone: 812-473-8986 | |
Jason R Wiles, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3700 Washington Ave, Evansville, IN 47714 Phone: 812-485-4000 | |
Douglas S Palmenter, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1231 Washington Square, Evansville, IN 47715 Phone: 812-479-6907 Fax: 812-479-6967 | |
Dr. Lata R Shukla, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7220 E Virginia St, Evansville, IN 47715 Phone: 812-473-8986 Fax: 812-471-6692 | |
Richard Cleavelin Probert, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 25 W Division St, Suite 400 West, Evansville, IN 47710 Phone: 812-436-4501 Fax: 812-436-4510 |