| Raj K Modak, MD | |
|
800 Howard Ave, Yale Physicians Bldg, New Haven, CT 06519-1369 | |
| (203) 785-2140 | |
| (203) 785-6414 |
| Full Name | Raj K Modak |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 31 Years |
| Location | 800 Howard Ave, New Haven, Connecticut |
| 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 |
|---|---|---|---|
| 1740215631 | NPI | - | NPPES |
| 001381772 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 038177 (Connecticut) | Secondary |
| 207L00000X | Anesthesiology | ME157402 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Josephs Hospital | Tampa, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baycare Medical Group, Inc. | 6406753623 | 1356 |
| Entity Name | Baycare Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
| Entity Name | American Anesthesiology Services Of Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508318387 PECOS PAC ID: 1850674540 Enrollment ID: O20170202001989 |
| Mailing Address | Practice Location Address |
|---|---|
| Raj K Modak, MD Po Box 9805, 300 George St 6th Flr, New Haven, CT 06536-0805 Ph: (203) 785-7998 | Raj K Modak, MD 800 Howard Ave, Yale Physicians Bldg, New Haven, CT 06519-1369 Ph: (203) 785-2140 |
Dr. Suwarna Anand, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 333 Cedar Street, New Haven, CT 06520 Phone: 203-785-2802 | |
Calin Gorun-gorunescu, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 800 Howard Avenue, Yale Physicians Building, New Haven, CT 06519 Phone: 203-785-2140 Fax: 203-785-6414 | |
Nazmul Chowdhury, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1450 Chapel St # E2006, New Haven, CT 06511 Phone: 203-789-3538 Fax: 203-867-5461 | |
Dr. Sri Smitha Kanaparthy, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 333 Cedar St, Tmp 3, New Haven, CT 06510 Phone: 203-785-2802 Fax: 203-785-6664 | |
Soumya Nyshadham, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 20 York St, New Haven, CT 06510 Phone: 202-737-5919 | |
Marc Sherwin, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-785-2802 | |
Anastasia Koptelova, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 333 Cedar St, New Haven, CT 06510 Phone: 203-688-4242 |