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 | 30 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 |
Jamaica Hospital Medical Center | Jamaica, NY | Hospital |
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 |