Tejas Pulisetty, | |
1932 Niles Cortland Rd Ne Ste X, Warren, OH 44484-1055 | |
(330) 306-5371 | |
(330) 306-5311 |
Full Name | Tejas Pulisetty |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 7 Years |
Location | 1932 Niles Cortland Rd Ne Ste X, Warren, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427584903 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | D0093301 (Maryland) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 35.146465 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Md Charles Regional Medical Center | La plata, MD | Hospital |
Mercy St Vincent Medical Center | Toledo, OH | Hospital |
University Of Md Medical Center Midtown Campus | Baltimore, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Maryland Diagnostic Imaging Specialists, P A | 7719873298 | 81 |
University Of Maryland Diagnostic Imaging Specialists, P A | 7719873298 | 81 |
Entity Name | University Of Maryland Diagnostic Imaging Specialists, P A |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154335487 PECOS PAC ID: 7719873298 Enrollment ID: O20131121000450 |
Mailing Address | Practice Location Address |
---|---|
Tejas Pulisetty, 1201 S Grand Blvd, Saint Louis, MO 63104-1016 Ph: () - | Tejas Pulisetty, 1932 Niles Cortland Rd Ne Ste X, Warren, OH 44484-1055 Ph: (330) 306-5371 |
Dr. Sriram Mannava, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1932 Niles Cortland Rd Ne Ste X, Warren, OH 44484 Phone: 330-306-5371 Fax: 330-306-5311 | |
Dr. Murray H Weissmann, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1932 Niles Cortland Rd Ne Ste X, Warren, OH 44484 Phone: 330-306-5371 Fax: 330-306-5311 | |
Carol Congeni, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1932 Niles Cortland Rd Ne Ste X, Warren, OH 44484 Phone: 330-306-5371 Fax: 330-306-5311 | |
Dr. Kevin Daniel Kelley, M.D., PHD Radiology Medicare: Medicare Enrolled Practice Location: 1353 E Market St, Warren, OH 44483 Phone: 330-841-9399 | |
Mercedes E Ramas, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1932 Niles Cortland Rd Ne Ste X, Warren, OH 44484 Phone: 330-306-5371 Fax: 330-306-5311 | |
Sami Sid Ahmed Elsayed, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1932 Niles Cortland Rd Ne Ste X, Warren, OH 44484 Phone: 330-306-5371 Fax: 330-306-5311 |