| Pavan Kumar Yalamanchili, | |
| 300 2nd Ave, Long Branch, NJ 07740-6303 | |
| (732) 222-5200 | |
| Not Available | 
| Full Name | Pavan Kumar Yalamanchili | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine - Infectious Disease | 
| Location | 300 2nd Ave, Long Branch, New Jersey | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1366933566 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 25MA11747700 (New Jersey) | Primary | 
| Entity Name | Id Care Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1639146277 PECOS PAC ID: 7719959998 Enrollment ID: O20101208000463 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Pavan Kumar Yalamanchili, 46 Gimbel Pl, Ocean, NJ 07712-2565 Ph: () - | Pavan Kumar Yalamanchili, 300 2nd Ave, Long Branch, NJ 07740-6303 Ph: (732) 222-5200 | 
| Dr. Richa Dua, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: Monmouth Medical Center, 300 Second Avenue, Long Branch, NJ 07740 Phone: 732-923-6537 Fax: 732-923-6536 | |
| Dr. Rita Watson, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 215 Brighton Ave, Long Branch, NJ 07740 Phone: 732-222-1543 Fax: 732-774-9148 | |
| Annapurna Lakshmi Sravanti Mandalika, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 300 2nd Ave, Long Branch, NJ 07740 Phone: 732-822-7639 | |
| Montaser Alrjoob, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 300 2nd Ave, Long Branch, NJ 07740 Phone: 732-923-6501 | |
| Emma Mcevoy, PA-C Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 300 2nd Ave, Long Branch, NJ 07740 Phone: 732-222-5200 | |
| Sara Ghotb, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 300 2nd Ave, Long Branch, NJ 07740 Phone: 732-923-5000 | |
| Eric Rehr, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: Monmouth Medical C Enter (emergency Department), 300 Second Avenue, Long Branch, NJ 07740 Phone: 732-923-7386 |