| Dr Menaka Mahadevan, | |
|
801 E Whitestone Blvd Ste C, Cedar Park, TX 78613-7558 | |
| (512) 259-3467 | |
| Not Available |
| Full Name | Dr Menaka Mahadevan |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 801 E Whitestone Blvd Ste C, Cedar Park, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700110301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | R70708 (Arizona) | Secondary |
| 208000000X | Pediatrics | N7306 (Texas) | Primary |
| Entity Name | Austin Regional Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821157579 PECOS PAC ID: 3072507789 Enrollment ID: O20040414000198 |
| Entity Name | Lone Star Circle Of Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891746970 PECOS PAC ID: 5193709392 Enrollment ID: O20040622000184 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Menaka Mahadevan, 6210 E Hwy 290, Austin, TX 78723-1142 Ph: () - | Dr Menaka Mahadevan, 801 E Whitestone Blvd Ste C, Cedar Park, TX 78613-7558 Ph: (512) 259-3467 |
Dr. Brent G Nick, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 801 E Whitestone Blvd Ste C, Cedar Park, TX 78613 Phone: 512-259-3467 | |
Dr. Betzi Sarah Mathew, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 345 Cypress Creek Rd, Suite 104, Cedar Park, TX 78613 Phone: 512-336-2777 Fax: 512-336-2778 | |
Carrie Adele Danner, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 345 Cypress Creek Rd, Ste 104, Cedar Park, TX 78613 Phone: 512-336-2777 Fax: 512-336-2778 | |
Lee Keegan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 345 Cypress Creek Rd, Ste 104, Cedar Park, TX 78613 Phone: 512-336-2777 Fax: 512-336-2778 | |
Kellie A Rice-monteiro, DO Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 801 E Whitestone Blvd, Bldg C, Cedar Park, TX 78613 Phone: 512-259-3467 Fax: 512-406-7303 | |
Lindsey Nicole Moore, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 345 Cypress Creek Rd Ste 104, Cedar Park, TX 78613 Phone: 512-336-2777 | |
Dr. Goddy T Corpuz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 910 E Whitestone Blvd, Cedar Park, TX 78613 Phone: 512-260-6100 |