| Manikyam Mutyala, MD | |
|
276 85th Ave, Floral Park, NY 11001-1205 | |
| (516) 358-1674 | |
| Not Available |
| Full Name | Manikyam Mutyala |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 31 Years |
| Location | 276 85th Ave, Floral Park, New York |
| 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 |
|---|---|---|---|
| 1326068198 | NPI | - | NPPES |
| 02559171 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 229717-1 (New York) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 229717-1 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Flushing Hospital Medical Center | Flushing, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tjh Medical Services Pc | 8527960533 | 196 |
| Entity Name | Tjh Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184670465 PECOS PAC ID: 8527960533 Enrollment ID: O20040121000802 |
| Entity Name | Flushing Hospital & Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548217763 PECOS PAC ID: 2668367483 Enrollment ID: O20040219000415 |
| Entity Name | Mani Vascular Surgery Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558775973 PECOS PAC ID: 5496973042 Enrollment ID: O20140825000492 |
| Mailing Address | Practice Location Address |
|---|---|
| Manikyam Mutyala, MD 276 85th Ave, Floral Park, NY 11001-1205 Ph: (516) 358-1674 | Manikyam Mutyala, MD 276 85th Ave, Floral Park, NY 11001-1205 Ph: (516) 358-1674 |
Martin J Kaplitt, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 27110 Grand Central Pkwy, Apt 32e, Floral Park, NY 11005 Phone: 718-229-3807 Fax: 718-747-0569 |