Sukrita Sheshu Mysore, MD | |
500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 | |
(443) 643-1500 | |
Not Available |
Full Name | Sukrita Sheshu Mysore |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 500 Upper Chesapeake Dr, Bel Air, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821584780 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | D91596 (Maryland) | Secondary |
208000000X | Pediatrics | D91596 (Maryland) | Primary |
Entity Name | Upper Chesapeake Medical Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497801419 PECOS PAC ID: 3173556974 Enrollment ID: O20050913000525 |
Mailing Address | Practice Location Address |
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Sukrita Sheshu Mysore, MD 224 Church St Apt 403, Philadelphia, PA 19106-4567 Ph: (704) 778-6403 | Sukrita Sheshu Mysore, MD 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 Ph: (443) 643-1500 |
Justin Paul Newstadt, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 604 Hoagie Dr, Bel Air, MD 21014 Phone: 410-893-4844 Fax: 410-893-3927 | |
Grace Esare-nkrumah, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Upper Chesapeake Dr, Bel Air, MD 21014 Phone: 443-643-4120 | |
Dr. Sharon Ellen Neibel-pondek, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4c North Ave, Suite 403, Bel Air, MD 21014 Phone: 410-838-0343 | |
Andrew S Bernstein, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 119 S Hays St, Bel Air, MD 21014 Phone: 410-638-8410 Fax: 410-420-3446 | |
Dr. Amanda Renee Hinkle, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 604 Hoagie Dr, Bel Air, MD 21014 Phone: 410-893-4844 | |
Dr. Vicki Robin Mcgowan Ii, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2014 S Tollgate Rd, Suite 200, Bel Air, MD 21015 Phone: 410-569-9533 | |
Dr. Nikita Gupta, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 604 Hoagie Dr, Bel Air, MD 21014 Phone: 315-842-7937 |