Pavan Bolla, - General Practice in Yonkers, NY

Pavan Bolla, is a General Practice physician based in Yonkers, New York. Pavan Bolla is licensed to practice in New York (license number P135320) and his current practice location is 78 Stratton St S, Yonkers, New York. He can be reached at his office (for appointments etc.) via phone at (914) 787-7400.

NPI number for Pavan Bolla is 1790670834 and his current mailing address is 3438 Bell Blvd Bay Bayside, Bayside, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790670834.

Contact Information

Pavan Bolla,
78 Stratton St S,
Yonkers, NY 10701-5969
(914) 787-7400
Not Available

Map and Direction




Physician's Profile

Full NamePavan Bolla
GenderMale
SpecialityGeneral Practice
Location78 Stratton St S, Yonkers, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1790670834
  • Provider Enumeration Date: 06/10/2025
  • Last Update Date: 06/10/2025

Medical Identifiers

Medical identifiers for Pavan Bolla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790670834NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice P135320 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pavan Bolla is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pavan Bolla,
3438 Bell Blvd Bay Bayside,
Bayside, NY 11361-1739

Ph: () -
Pavan Bolla,
78 Stratton St S,
Yonkers, NY 10701-5969

Ph: (914) 787-7400

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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