| Kavitha Vani Manjunath, MD | |
|
1450 Scalp Ave, Suite 003b, Johnstown, PA 15904-3374 | |
| (814) 269-9551 | |
| (814) 266-6263 |
| Full Name | Kavitha Vani Manjunath |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 38 Years |
| Location | 1450 Scalp Ave, Johnstown, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992847768 | NPI | - | NPPES |
| 1018582080002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD430862 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chan Soon- Shiong Medical Center At Windber | Windber, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vantage Physical Therapy And Rehabilitation Inc | 3072424886 | 243 |
| Windber Hospital Inc | 9234187576 | 32 |
| Entity Name | Dlp Conemaugh Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932515905 PECOS PAC ID: 7315166949 Enrollment ID: O20140915002522 |
| Mailing Address | Practice Location Address |
|---|---|
| Kavitha Vani Manjunath, MD 1086 Franklin St, Johnstown, PA 15905-4305 Ph: (814) 410-8300 | Kavitha Vani Manjunath, MD 1450 Scalp Ave, Suite 003b, Johnstown, PA 15904-3374 Ph: (814) 269-9551 |
Sai Harsha Bobba, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-9364 Fax: 814-534-5599 | |
Faryal Safdar, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-9364 Fax: 814-534-5599 | |
Bonifacio Tan Aguilera, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 307 Terlyn Drive, Johnstown, PA 15904 Phone: 814-467-6378 | |
Dr. Sahar Elias, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1450 Scalp Ave, Suite 1000, Johnstown, PA 15904 Phone: 814-269-5200 Fax: 814-269-5070 | |
Sandeep Mahal, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-9364 | |
Fredrick William Munzer, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 411 Theatre Dr, Johnstown, PA 15904 Phone: 814-269-4507 Fax: 814-288-0194 | |
Erica Korin Wentz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-9106 |