| Dr Manasa G Mantravadi, MD | |
|
654 N Senate Ave, Indianapolis, IN 46202-3110 | |
| (812) 240-9789 | |
| Not Available |
| Full Name | Dr Manasa G Mantravadi |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 654 N Senate Ave, Indianapolis, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508008020 | NPI | - | NPPES |
| 201316090 | Medicaid | IN | |
| P01512486 | Other | IN | MEDICARE RR PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | ME113007 (Florida) | Secondary |
| 208000000X | Pediatrics | 01075610A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Manasa G Mantravadi, MD 654 N Senate Ave, Indianapolis, IN 46202-3110 Ph: () - | Dr Manasa G Mantravadi, MD 654 N Senate Ave, Indianapolis, IN 46202-3110 Ph: (812) 240-9789 |
Mohannad Moallem, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 705 Riley Hospital Dr, Indianapolis, IN 46202 Phone: 317-274-4779 Fax: 317-948-9806 | |
Tracey Wilkinson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 705 Riley Hospital Dr Ste 1300, Indianapolis, IN 46202 Phone: 317-962-8067 | |
Joshua Wayne Gollub, Pediatrics Medicare: Medicare Enrolled Practice Location: 705 Riley Hospital Dr, Indianapolis, IN 46202 Phone: 317-274-4779 Fax: 317-948-9806 | |
Katherine Carlsen Anderson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1701 N Senate Blvd # Ag012, Indianapolis, IN 46202 Phone: 317-962-3525 | |
Ivana Radovanovic, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5550 S East St Ste C, Indianapolis, IN 46227 Phone: 317-534-4660 Fax: 317-782-4301 | |
Samuel J Flanders, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 250 N Shadeland Ave, Ste 200, Indianapolis, IN 46219 Phone: 317-962-4836 Fax: 317-962-8646 | |
Mark H Hoyer, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 705 Riley Hospital Dr, Rr 127, Indianapolis, IN 46202 Phone: 317-274-8906 Fax: 317-274-4022 |