| Mana Medical, Inc. | |
|
880 Greenlawn Ave Columbus OH 43223-2616 | |
| (614) 449-9664 | |
| (614) 444-7919 |
| Full Name | Mana Medical, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 880 Greenlawn Ave, Columbus, Ohio |
| Authorized Official Name and Position | Binit J Shah (OWNER) |
| Authorized Official Contact | 2024913733 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mana Medical, Inc. 8163 Campden Lakes Blvd Dublin OH 43016-8254 Ph: () - | Mana Medical, Inc. 880 Greenlawn Ave Columbus OH 43223-2616 Ph: (614) 449-9664 |
| NPI Number | 1275964934 |
|---|---|
| Provider Enumeration Date | 12/06/2013 |
| Last Update Date | 12/06/2013 |
| Medicare PECOS PAC ID | 7517195100 |
|---|---|
| Medicare Enrollment ID | O20140103000858 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275964934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35.097615 (Ohio) | Primary |
| 2084P2900X | Psychiatry & Neurology - Pain Medicine | 35.097615 (Ohio) | Secondary |
| Provider Name | Binit Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912181389 PECOS PAC ID: 6800089012 Enrollment ID: I20110730000016 |
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