| Mr Mohan Ettyreddy, MD | |
|
465 W Putnam, Porterville, CA 93257 | |
| (559) 784-1110 | |
| Not Available |
| Full Name | Mr Mohan Ettyreddy |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 41 Years |
| Location | 465 W Putnam, Porterville, California |
| 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 |
|---|---|---|---|
| 1407807100 | NPI | - | NPPES |
| 00A828790 | Other | CA | BS OF CA |
| 00A828790 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | A82879 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwest Ohio Anesthesia Consultants Llc | 6901700640 | 374 |
| Entity Name | Southwest Ohio Anesthesia Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588645188 PECOS PAC ID: 6901700640 Enrollment ID: O20031124000399 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mohan Ettyreddy, MD Po Box 7096, Stockton, CA 95267 Ph: (209) 956-7725 | Mr Mohan Ettyreddy, MD 465 W Putnam, Porterville, CA 93257 Ph: (559) 784-1110 |
Dr. Ernesto Jimenez, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 465 W. Putnam Avenue, Porterville, CA 93257 Phone: 559-784-1110 Fax: 559-784-2742 | |
Dr. John Nadakavukaran, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 465 W Putnam Ave, Porterville, CA 93257 Phone: 559-791-4745 | |
Dr. Joseph Ipe, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 465 W Putnam Ave, Porterville, CA 93257 Phone: 559-784-1110 | |
Dr. Vivek Dalal, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 465 W Putnam Ave, Porterville, CA 93257 Phone: 850-339-2355 | |
Mr. Alex Preston, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 465 W Putnam, Porterville, CA 93257 Phone: 559-784-1110 | |
Ms. Rajeshwary Swamidurai, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 465 W Putnam, Porterville, CA 93257 Phone: 559-784-1110 Fax: 559-791-4733 |