| Dr Sujatha Pandian, MD | |
|
176 Virginia Ave, Rochester, PA 15074-1723 | |
| (724) 770-9095 | |
| (724) 770-9096 |
| Full Name | Dr Sujatha Pandian |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 176 Virginia Ave, Rochester, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508867086 | NPI | - | NPPES |
| 3810001134 | Medicaid | WV | |
| 0019472250001 | Medicaid | PA | |
| 2440700 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD420452 (Pennsylvania) | Primary |
| Entity Name | Primary Health Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417932609 PECOS PAC ID: 9234046228 Enrollment ID: O20031124000553 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sujatha Pandian, MD 100 Shenango Ave, Sharon, PA 16146-1503 Ph: (724) 770-9095 | Dr Sujatha Pandian, MD 176 Virginia Ave, Rochester, PA 15074-1723 Ph: (724) 770-9095 |
Dr. Kanthi Menon, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 176 Virginia Ave, Rochester, PA 15074 Phone: 724-770-9095 Fax: 724-770-9096 | |
Dr. Polina Semenovna Vassilieva, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 176 Virginia Ave, Rochester, PA 15074 Phone: 724-770-9095 Fax: 724-770-9096 |