| Radovi Llc | |
|
7153 Edgewater Dr Mandeville LA 70471-7431 | |
| (504) 914-2908 | |
| (985) 674-4390 |
| Full Name | Radovi Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7153 Edgewater Dr, Mandeville, Louisiana |
| Authorized Official Name and Position | Shanmuganathan Shantha (DIRECT OWNER) |
| Authorized Official Contact | 5049142908 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Radovi Llc 7153 Edgewater Dr Mandeville LA 70471-7431 Ph: (504) 914-2908 | Radovi Llc 7153 Edgewater Dr Mandeville LA 70471-7431 Ph: (504) 914-2908 |
| NPI Number | 1619228509 |
|---|---|
| Provider Enumeration Date | 10/02/2012 |
| Last Update Date | 10/02/2012 |
| Medicare PECOS PAC ID | 5597915934 |
|---|---|
| Medicare Enrollment ID | O20121022000258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619228509 | NPI | - | NPPES |
| 1422029 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 15098R (Louisiana) | Primary |
| Provider Name | Shanmugan Shantha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255341798 PECOS PAC ID: 4880614833 Enrollment ID: I20051206000102 |
Lurline Smith Mental Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Wilkinson St, Mandeville, LA 70448 Phone: 985-624-4450 | |
C Hope Health Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1402 N Causeway Blvd, Apt. 608, Mandeville, LA 70471 Phone: 770-743-7055 | |
Northlake Behavioral Health System Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 23515 Hwy 190, Mandeville, LA 70448 Phone: 847-452-4585 Fax: 985-626-6559 | |
Northlake Medical Psychology And Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Saint Ann Dr Ste 2, Mandeville, LA 70471 Phone: 601-946-1844 | |
Northshore Zen Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 N Causeway Blvd Ste B, Mandeville, LA 70471 Phone: 985-882-1322 Fax: 985-809-6909 | |
Lifenet Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4070 Lonesome Rd, Suite B, Mandeville, LA 70448 Phone: 985-246-2600 Fax: 985-246-2601 | |
Michele Marie Mixon, Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2244 11th St, Mandeville, LA 70471 Phone: 225-266-8122 |