| Raj Kandavanam, MD | |
|
1590 S Sr 15a, Suite 100, Deland, FL 32720-7817 | |
| (386) 774-0016 | |
| (386) 774-0606 |
| Full Name | Raj Kandavanam |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 17 Years |
| Location | 1590 S Sr 15a, Deland, Florida |
| 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 |
|---|---|---|---|
| 1821223587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME111840 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Daytona beach, FL | Home health agency |
| Adventhealth Deland | Deland, FL | Hospital |
| Adventhealth Fish Memorial | Orange city, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ormond Medical Arts | 1254222565 | 33 |
| Entity Name | Leesburg Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245226190 PECOS PAC ID: 1254228448 Enrollment ID: O20040302001078 |
| Entity Name | Ormond Medical Arts |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326254962 PECOS PAC ID: 1254222565 Enrollment ID: O20040324000407 |
| Mailing Address | Practice Location Address |
|---|---|
| Raj Kandavanam, MD 1590 S Sr 15a, Suite 100, Deland, FL 32720-7817 Ph: (386) 774-0016 | Raj Kandavanam, MD 1590 S Sr 15a, Suite 100, Deland, FL 32720-7817 Ph: (386) 774-0016 |
Thomas Jude Montaldo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1070 N Stone St, Suite A, Deland, FL 32720 Phone: 386-943-7100 Fax: 386-738-2624 | |
Robert Solomon Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1431 Orange Camp Rd Ste 118119, Deland, FL 32724 Phone: 386-943-3234 | |
Sue-ellen Elizabeth Griffith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1070 N Stone St Ste A, Deland, FL 32720 Phone: 386-943-7100 | |
Stephen Mcaskill, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 818 N Woodland Blvd, Deland, FL 32720 Phone: 386-738-8000 Fax: 386-738-7211 | |
Dr. Melanie Renee Vandemark, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1450 S Woodland Blvd, Suite 300-c, Deland, FL 32720 Phone: 386-740-1701 | |
Dr. Elizabeth Rivera, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 929 N Spring Garden Ave Ste 170, Deland, FL 32720 Phone: 386-738-9144 Fax: 386-738-9213 | |
Mr. Cesar Nabong Abiera Jr., M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2729 S Woodland Blvd, Deland, FL 32720 Phone: 386-943-8883 Fax: 386-943-8056 |