Suhanna Mutti, MD | |
40100 Highway 27, Davenport, FL 33837-5906 | |
(863) 558-6014 | |
Not Available |
Full Name | Suhanna Mutti |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 40100 Highway 27, Davenport, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639796287 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2020013287 (Missouri) | Secondary |
207R00000X | Internal Medicine | ME161650 (Florida) | Primary |
Entity Name | Ridgewood Physician Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295216034 PECOS PAC ID: 0446594105 Enrollment ID: O20181206001200 |
Mailing Address | Practice Location Address |
---|---|
Suhanna Mutti, MD 40100 Highway 27, Davenport, FL 33837-5906 Ph: (863) 558-6014 | Suhanna Mutti, MD 40100 Highway 27, Davenport, FL 33837-5906 Ph: (863) 558-6014 |
Dr. Dwarka G Nath, M D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 40124 Highway 27 Ste 204, Davenport, FL 33837 Phone: 863-419-2156 | |
Dr. Irfan F Siddiqui, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 405 Lionel Way, Davenport, FL 33837 Phone: 863-424-3278 Fax: 863-420-9701 | |
Rubayat Naila Rahman, MD MPH Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 40124 Us Hwy 27, Ste 204, Davenport, FL 33837 Phone: 863-419-2156 Fax: 863-419-2157 | |
Ceferina Bondoc Del Rosario, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 N Escambia Avenue, Davenport, FL 33837 Phone: 863-421-7778 Fax: 863-421-7795 | |
Jaydev H Avashia, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 40107 Highway 27 Ste 200, Davenport, FL 33837 Phone: 863-421-9705 Fax: 863-421-9779 | |
Dr. Jean-claude Desgranges, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 131 Webb Drive, Suite 400, Davenport, FL 33837 Phone: 863-421-7400 Fax: 863-421-7448 | |
Srinath Reddy Kosanam, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 106 Polo Park East Blvd, Davenport, FL 33897 Phone: 863-424-8900 Fax: 863-424-8823 |