| Dr Srihari Daggumati, MD | |
|
406 Lippincott Dr Ste F, Marlton, NJ 08053-4168 | |
| (856) 435-9100 | |
| Not Available |
| Full Name | Dr Srihari Daggumati |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 406 Lippincott Dr Ste F, Marlton, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902466527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | MD483973 (Pennsylvania) | Secondary |
| 207Y00000X | Otolaryngology | 25MA12640300 (New Jersey) | Primary |
| Entity Name | Jefferson University Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326093675 PECOS PAC ID: 7911819180 Enrollment ID: O20040225000232 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Srihari Daggumati, MD 401 Route 73 N Bldg 10, Suite 320, Marlton, NJ 08053 Ph: (856) 872-7055 | Dr Srihari Daggumati, MD 406 Lippincott Dr Ste F, Marlton, NJ 08053-4168 Ph: (856) 435-9100 |
Dr. Scott Richard Schaffer, MD, FACS Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 406 Lippincott Dr Ste F, Marlton, NJ 08053 Phone: 856-435-9100 Fax: 856-435-9112 | |
Dr. Gabriel Ho Yu Wong, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 406 Lippincott Dr, Marlton, NJ 08053 Phone: 856-435-9100 Fax: 856-435-9112 | |
Dr. Stephen Tai, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 406 Lippincott Dr Ste F, Marlton, NJ 08053 Phone: 856-435-9100 Fax: 856-435-9112 | |
Dr. Saba Aftab, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 406 Lippincott Dr Ste F, Marlton, NJ 08053 Phone: 856-435-9100 Fax: 856-435-9112 |