Srinand Mandyam, MD | |
455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768 | |
(770) 962-3642 | |
(770) 962-3643 |
Full Name | Srinand Mandyam |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 18 Years |
Location | 455 Philip Blvd Ste 140, Lawrenceville, Georgia |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306162037 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208VP0014X | Pain Medicine - Interventional Pain Medicine | 70149 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northside Hospital Forsyth | Cumming, GA | Hospital |
Northeast Georgia Medical Center, Inc | Gainesville, GA | Hospital |
Northside Hospital | Atlanta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Georgia Pain And Wellness Center, Llc | 8527200864 | 21 |
Entity Name | Georgia Pain And Wellness Center, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356781181 PECOS PAC ID: 8527200864 Enrollment ID: O20130815000433 |
Entity Name | Sleep Ezzy |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154852820 PECOS PAC ID: 4486920295 Enrollment ID: O20171023003067 |
Mailing Address | Practice Location Address |
---|---|
Srinand Mandyam, MD 455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768 Ph: (770) 962-3642 | Srinand Mandyam, MD 455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768 Ph: (770) 962-3642 |
Sunay Ashok Patel, DO Pain Medicine Medicare: Medicare Enrolled Practice Location: 455 Philip Blvd Ste 140, Lawrenceville, GA 30046 Phone: 770-962-3642 Fax: 770-962-3643 | |
William J Epps, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 4799 Sugarloaf Pkwy # G100, Lawrenceville, GA 30044 Phone: 770-929-9033 |