Raji Anand Maddela, | |
950 Campbell Ave, West Haven, CT 06516-2770 | |
(203) 932-5711 | |
Not Available |
Full Name | Raji Anand Maddela |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Acute Care |
Location | 950 Campbell Ave, West Haven, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649946823 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 163942 (Connecticut) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | 10143 (Connecticut) | Primary |
Entity Name | Hartford Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407806391 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000700 |
Entity Name | Hartford Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770696643 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000752 |
Entity Name | The Hospital Of Central Connecticut At New Britain General And Bradley |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063461481 PECOS PAC ID: 6507776564 Enrollment ID: O20040115000497 |
Entity Name | Gaylord Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730137753 PECOS PAC ID: 1153224191 Enrollment ID: O20040128000878 |
Entity Name | Midstate Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154425288 PECOS PAC ID: 7416840699 Enrollment ID: O20040203000244 |
Entity Name | Hartford Healthcare Medical Group Specialists Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441 |
Mailing Address | Practice Location Address |
---|---|
Raji Anand Maddela, 85 Perry Merrill Dr, West Haven, CT 06516-7706 Ph: (203) 809-9281 | Raji Anand Maddela, 950 Campbell Ave, West Haven, CT 06516-2770 Ph: (203) 932-5711 |
Ms. Michele V Coral, APRN,CS Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 950 Campbell Ave # 116-a, West Haven, CT 06516 Phone: 203-932-5711 | |
Susan Marchitto, PNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6 Cove Brook Rd, West Haven, CT 06516 Phone: 203-641-0765 | |
Allison Marie Altenburger, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Cellini Pl Ste 102, West Haven, CT 06516 Phone: 203-932-6481 Fax: 203-932-4051 | |
Christine B Paranal, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Arlington St, West Haven, CT 06516 Phone: 203-934-2691 | |
Olutoyin Adesola, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 687 Campbell Ave, West Haven, CT 06516 Phone: 203-932-6481 | |
Ms. Clarice Elizabeth Grens, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 950 Campbell Ave, West Haven, CT 06516 Phone: 203-932-5711 | |
Tracie Nalley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 687 Campbell Ave, West Haven, CT 06516 Phone: 203-932-6481 |