| Kathiravelu Thabolingam, MD | |
|
725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 | |
| (863) 494-1242 | |
| (863) 491-0466 |
| Full Name | Kathiravelu Thabolingam |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 725 N 12th Ave Bldg B, Arcadia, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932167814 | NPI | - | NPPES |
| 38-2368583 | Other | TAX ID | |
| 1397556-10 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME133935 (Florida) | Primary |
| Entity Name | Neighborhood Service Organization |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891825808 PECOS PAC ID: 7113907387 Enrollment ID: O20040720001455 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathiravelu Thabolingam, MD 700 8th Ave W Ste 101, Palmetto, FL 34221-4737 Ph: (941) 776-4000 | Kathiravelu Thabolingam, MD 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 Ph: (863) 494-1242 |
Dr. Anitha Mogallapu, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266 Phone: 239-936-5250 Fax: 239-936-9970 | |
Dr. Martha M Coetzee, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1004 W Oak St, Arcadia, FL 34266 Phone: 561-843-3775 | |
Dr. Katyna Rosario, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266 Phone: 239-936-5250 Fax: 239-936-9970 | |
Stephen Curtis, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266 Phone: 239-936-5250 Fax: 239-936-9970 | |
Manuel F Gallego, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 725 N 12th Ave, Arcadia, FL 34266 Phone: 863-494-1242 Fax: 963-491-0466 |