| Dr Vasudevarao Mandava, MD | |
|
18 Market St, Suite C, Mount Clemens, MI 48043 | |
| (586) 783-2222 | |
| (586) 783-6280 |
| Full Name | Dr Vasudevarao Mandava |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 18 Market St, Mount Clemens, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073501821 | NPI | - | NPPES |
| 1096276 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | VM031566 (Michigan) | Primary |
| Entity Name | Iris B Daniel Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255421020 PECOS PAC ID: 3870594963 Enrollment ID: O20070116000051 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Vasudevarao Mandava, MD 6800 E 10 Mile Rd, Center Line, MI 48015-1167 Ph: (586) 619-9986 | Dr Vasudevarao Mandava, MD 18 Market St, Suite C, Mount Clemens, MI 48043 Ph: (586) 783-2222 |
Japjit Kaur Serai, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-3727 | |
Haditya Behl, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000 | |
Robert A Chang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 133 S Main St, Mount Clemens, MI 48043 Phone: 586-468-1600 Fax: 586-465-0329 | |
Misha Kaur Chowdhary, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-3727 | |
Travis Singh Sekhon, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-3727 | |
Venkata Munagala, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-3727 |