| Chitra S Mani, MD | |
|
785 Ohio Ave Ste 3e, Clarksdale, MS 38614-6215 | |
| (662) 351-0702 | |
| (662) 351-0703 |
| Full Name | Chitra S Mani |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Pediatric Infectious Diseases |
| Location | 785 Ohio Ave Ste 3e, Clarksdale, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811006901 | NPI | - | NPPES |
| G50538 | Medicaid | SC | |
| 000917738A | Medicaid | GA | |
| 200010598 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 27663 (Mississippi) | Secondary |
| 2080P0208X | Pediatrics - Pediatric Infectious Diseases | 050538 (Georgia) | Primary |
| Entity Name | Au Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188 |
| Mailing Address | Practice Location Address |
|---|---|
| Chitra S Mani, MD 785 Ohio Ave Ste 3e, Clarksdale, MS 38614-6215 Ph: (662) 351-0702 | Chitra S Mani, MD 785 Ohio Ave Ste 3e, Clarksdale, MS 38614-6215 Ph: (662) 351-0702 |
Dorcas Poni Eshun, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 800 Ohio Ave, Clarksdale, MS 38614 Phone: 662-624-2504 | |
Carole L Mangrem, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2245 N Starte St, Clarksdale, MS 38614 Phone: 662-627-4131 Fax: 662-627-2702 | |
Peggy J Wells, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2245 N State St, Clarksdale, MS 38614 Phone: 662-627-4131 Fax: 662-627-2702 |