| Dr Theethaye Lonappan Ittiara, MD | |
|
142 E Maumee St, Adrian, MI 49221-2735 | |
| (517) 263-5810 | |
| Not Available |
| Full Name | Dr Theethaye Lonappan Ittiara |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 59 Years |
| Location | 142 E Maumee St, Adrian, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174585475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4301031889 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arab American And Chaldean Council | 2365401874 | 9 |
| Entity Name | Arab American And Chaldean Council |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861673543 PECOS PAC ID: 2365401874 Enrollment ID: O20041008000669 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Theethaye Lonappan Ittiara, MD 5442 Pine View Dr, Ypsilanti, MI 48197-8963 Ph: (734) 485-0868 | Dr Theethaye Lonappan Ittiara, MD 142 E Maumee St, Adrian, MI 49221-2735 Ph: (517) 263-5810 |
Dr. Sylvia Anagnos, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 777 Kimole Ln Ste 250, Adrian, MI 49221 Phone: 419-291-3900 Fax: 419-479-6055 | |
Dr. Moina Hassan, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1040 S Winter St, Adrian, MI 49221 Phone: 517-263-8905 Fax: 517-263-7616 | |
Thresiamma Jacob, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 142 E Maumee St, Adrian, MI 49221 Phone: 517-263-5810 | |
Manish Prasad, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1040 S Winter St, Adrian, MI 49221 Phone: 517-263-8905 | |
Luven Marie Sequerra Tejero, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1040 S Winter St, Adrian, MI 49221 Phone: 517-263-8905 | |
Robert Shaw, CNP Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 142 E Maumee St, Adrian, MI 49221 Phone: 571-263-5810 |