Thippeswamy Mydur, MD | |
1613 Harrison Pkwy, #200, Sunrise, FL 33323-2853 | |
(954) 838-2371 | |
Not Available |
Full Name | Thippeswamy Mydur |
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Gender | Male |
Speciality | Anesthesiology |
Location | 1613 Harrison Pkwy, Sunrise, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306818240 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | L2489 (Texas) | Primary |
Entity Name | Sound Physicians Anesthesiology Of Texas Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295356277 PECOS PAC ID: 1254751407 Enrollment ID: O20201009000612 |
Mailing Address | Practice Location Address |
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Thippeswamy Mydur, MD Po Box 452319, Sunrise, FL 33345-2319 Ph: () - | Thippeswamy Mydur, MD 1613 Harrison Pkwy, #200, Sunrise, FL 33323-2853 Ph: (954) 838-2371 |
James M. Cogdill, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
Pedro R. Fernandez, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
Nicholas M. Vuong, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
Skiles (sam) A. Montague, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
W. Vincent Picolo, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
Dilsheesh K Purewal, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 2120 Nw 107th Ter, Sunrise, FL 33322 Phone: 954-741-0636 Fax: 954-741-0639 | |
Roger L. Duncan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2667 |