| Dr Anitha Mandadapu, MD | |
|
2700 Vissing Park Rd, Jeffersonville, IN 47130-5989 | |
| (812) 284-8000 | |
| (502) 805-0690 |
| Full Name | Dr Anitha Mandadapu |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 2700 Vissing Park Rd, Jeffersonville, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699816744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 42490 (Kentucky) | Primary |
| Entity Name | Abs Lincs Ky, Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720353501 PECOS PAC ID: 6608833520 Enrollment ID: O20041213000659 |
| Entity Name | Kmi Acquisition Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104097021 PECOS PAC ID: 8628155892 Enrollment ID: O20080513000534 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anitha Mandadapu, MD 101 W Muhammad Ali Blvd, Suite#340, Louisville, KY 40202-1954 Ph: (502) 589-8600 | Dr Anitha Mandadapu, MD 2700 Vissing Park Rd, Jeffersonville, IN 47130-5989 Ph: (812) 284-8000 |
Geoffrey Jeyasingham, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 301 Gordon Gutmann Blvd Ste 101, Jeffersonville, IN 47130 Phone: 812-282-4844 Fax: 812-282-6248 | |
Steven R Shelton, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1507 Spring Street, Jeffersonville, IN 47130 Phone: 407-347-4536 Fax: 812-285-8392 | |
Leah G Dickerson, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 460 Spring St, Jeffersonville, IN 47130 Phone: 812-280-2080 | |
Steven G Gibson, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 510 Spring St, Jeffersonville, IN 47130 Phone: 812-282-1888 Fax: 812-285-8892 | |
Dr. Mashiur Rahman Khan, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2420 E 10th St, Jeffersonville, IN 47130 Phone: 812-282-8248 | |
Sheryl Schneider, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 460 Spring St, Jeffersonville, IN 47130 Phone: 812-280-2080 | |
Carol Hammerbeck, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2780 Jefferson Centre Way Unit 104, Jeffersonville, IN 47130 Phone: 812-288-8622 Fax: 812-288-8632 |