Shayana Prabhodani De Silva, MD | |
1000 1st Dr Nw, Austin, MN 55912-2941 | |
(507) 434-1092 | |
(507) 434-1477 |
Full Name | Shayana Prabhodani De Silva |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1000 1st Dr Nw, Austin, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033194667 | NPI | - | NPPES |
370022552 | Other | MN | MEDICARE RAILROAD |
871423100 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 45334 (Minnesota) | Primary |
Entity Name | Mayo Clinic Health System-southeast Minnesota Region |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891701637 PECOS PAC ID: 4385556703 Enrollment ID: O20031104000408 |
Mailing Address | Practice Location Address |
---|---|
Shayana Prabhodani De Silva, MD 1000 1st Dr Nw, Austin, MN 55912-2941 Ph: (507) 434-1092 | Shayana Prabhodani De Silva, MD 1000 1st Dr Nw, Austin, MN 55912-2941 Ph: (507) 434-1092 |
Dr. Andrew C Schmitt, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 1st Dr Nw, Austin, MN 55912 Phone: 507-433-7351 Fax: 630-839-1940 | |
Jenna R Wheeler Anderson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 1st Dr Nw, Austin, MN 55912 Phone: 507-433-7351 | |
Vijay Chawla, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 1st Dr Nw, Austin, MN 55912 Phone: 507-434-1092 Fax: 507-434-1477 |