Maanasa Bandla, | |
125 Buena Vista Cir, South Hill, VA 23970-1431 | |
(434) 447-3151 | |
(434) 584-5543 |
Full Name | Maanasa Bandla |
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Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 125 Buena Vista Cir, South Hill, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063972404 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 281143 (Massachusetts) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 0102208150 (Virginia) | Primary |
Entity Name | Mission Health Community Multispecialty Providers Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457719130 PECOS PAC ID: 9537468574 Enrollment ID: O20160426001883 |
Mailing Address | Practice Location Address |
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Maanasa Bandla, 720 Harrison Ave Fl 9, Boston, MA 02118-2371 Ph: (617) 638-8540 | Maanasa Bandla, 125 Buena Vista Cir, South Hill, VA 23970-1431 Ph: (434) 447-3151 |
Carlos A Williams, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 501 Lombardy St, South Hill, VA 23970 Phone: 434-447-9033 Fax: 434-447-9034 | |
Yasir Al-khalili, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1755 N Mecklenburg Ave, South Hill, VA 23970 Phone: 434-584-2273 Fax: 434-584-5543 |