Chandra S Reddivari, MD | |
200 Mill Road, Suite 190, Fairhaven, MA 02719-5252 | |
(508) 973-0857 | |
(508) 973-2176 |
Full Name | Chandra S Reddivari |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 200 Mill Road, Fairhaven, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477522290 | NPI | - | NPPES |
177806 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 152438 (Massachusetts) | Primary |
Entity Name | Southcoast Physicians Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20040920000138 |
Mailing Address | Practice Location Address |
---|---|
Chandra S Reddivari, MD 200 Mill Road, Suite 180, Fairhaven, MA 02719-5252 Ph: (508) 973-2000 | Chandra S Reddivari, MD 200 Mill Road, Suite 190, Fairhaven, MA 02719-5252 Ph: (508) 973-0857 |
Todd F Roberts, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 206 Mill Rd, Fairhaven, MA 02719 Phone: 508-973-3000 Fax: 508-973-3119 | |
Dr. Nicholas Robert Ondrasik, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 208 Mill Rd, Fairhaven, MA 02719 Phone: 508-973-2224 Fax: 508-973-0394 | |
Dr. Alexis Pappas, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 208 Mill Rd, Fairhaven, MA 02719 Phone: 508-973-2661 Fax: 508-973-0314 | |
Elizabeth M Blanchard, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 206 Mill Rd, Fairhaven, MA 02719 Phone: 508-973-3000 Fax: 508-973-3119 | |
Dr. Abena A. Addo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 208 Mill Rd, Fairhaven, MA 02719 Phone: 508-996-1800 Fax: 508-992-7906 | |
Nosheen Javed, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 208 Mill Rd, Fairhaven, MA 02719 Phone: 508-973-2207 Fax: 508-973-2505 |