| Mary Louis Manavalan, MD | |
|
611 W Park St, Urbana, IL 61801-2500 | |
| (217) 383-3110 | |
| (217) 244-0621 |
| Full Name | Mary Louis Manavalan |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 611 W Park St, Urbana, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043529803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A130919 (California) | Primary |
| Entity Name | Quantum Healthcare Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568490597 PECOS PAC ID: 5294647574 Enrollment ID: O20040924000422 |
| Entity Name | Inpatient Consultants Of California Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831134253 PECOS PAC ID: 7618861501 Enrollment ID: O20050318000829 |
| Entity Name | California Post-acute Medical Group 1 Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265971949 PECOS PAC ID: 5991072738 Enrollment ID: O20170525001727 |
| Entity Name | Ca Pacs 2 Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801372669 PECOS PAC ID: 4981954476 Enrollment ID: O20180904002122 |
| Entity Name | Cs Pacs 3 West Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073378238 PECOS PAC ID: 8921546797 Enrollment ID: O20240920000852 |
| Entity Name | Cs Pacs 3 Ca Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922775360 PECOS PAC ID: 1153843180 Enrollment ID: O20250319003700 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Louis Manavalan, MD 1510 4th St 1, Berkeley, CA 94710-1717 Ph: (510) 525-8980 | Mary Louis Manavalan, MD 611 W Park St, Urbana, IL 61801-2500 Ph: (217) 383-3110 |
Joselyn Joseph, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Hospitalist, Urbana, IL 61801 Phone: 217-383-3129 Fax: 217-326-1550 | |
Dr. Uday Bhaskar Kanakadandi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Hvi, Urbana, IL 61801 Phone: 217-383-3110 | |
Dr. Nelson Onyekachukwu Okobia, Internal Medicine Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-549-6585 | |
Robert W. Kirby, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 602 W University Ave, Urbana, IL 61801 Phone: 217-383-3311 | |
Chukwunonyelum Ekwempu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3129 | |
Benjamin J Rhee, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Cardiology, Urbana, IL 61801 Phone: 217-904-7000 Fax: 217-904-7742 | |
Stephen A Dolan, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 602 W. University Avenue, Infectious Disease, Urbana, IL 61801 Phone: 217-383-1554 Fax: 217-383-1523 |