| Mr Mannachanallur Ramakrishnan, MD | |
|
388 Ben Bolt Ave, Tazewell, VA 24651-5386 | |
| (276) 988-8730 | |
| Not Available |
| Full Name | Mr Mannachanallur Ramakrishnan |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 388 Ben Bolt Ave, Tazewell, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003806738 | NPI | - | NPPES |
| 007213913 | Medicaid | VA | |
| 64662257 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | D0103416 (Maryland) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 0101030628 (Virginia) | Primary |
| Entity Name | Meritus Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184477911 PECOS PAC ID: 7113811795 Enrollment ID: O20250528002658 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mannachanallur Ramakrishnan, MD 213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713 Ph: (540) 224-5352 | Mr Mannachanallur Ramakrishnan, MD 388 Ben Bolt Ave, Tazewell, VA 24651-5386 Ph: (276) 988-8730 |
Dr. Vijay Ramakrishnan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 388 Ben Bolt Ave, Tazewell, VA 24651 Phone: 276-988-8730 | |
Qasim Ali Rao, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 388 Ben Bolt Ave, Tazewell, VA 24651 Phone: 276-988-8730 Fax: 276-988-0563 | |
Dr. Thomas Edward Miller, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 388 Ben Bolt Ave, Tazewell, VA 24651 Phone: 276-988-8730 Fax: 276-988-0563 |