| Meenakshi Davuluri, MD | |
|
1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | |
| (570) 808-7850 | |
| (570) 808-7904 |
| Full Name | Meenakshi Davuluri |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 1000 E Mountain Dr, Wilkes Barre, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043605330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD493727 (Pennsylvania) | Primary |
| Entity Name | Weill Medical College Of Cornell |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306959671 PECOS PAC ID: 6800709023 Enrollment ID: O20040405001070 |
| Entity Name | Kings Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083045090 PECOS PAC ID: 0547579427 Enrollment ID: O20151015000175 |
| Mailing Address | Practice Location Address |
|---|---|
| Meenakshi Davuluri, MD 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 808-7850 | Meenakshi Davuluri, MD 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 Ph: (570) 808-7850 |
Dr. John F. Danella, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 6 Wildflower Dr, Wilkes Barre, PA 18702 Phone: 570-808-8843 Fax: 570-808-8844 | |
Tyler M Thress, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Dr, Wilkes Barre, PA 18711 Phone: 570-808-2338 Fax: 570-808-7904 |