| Sidharta P Gangadharan, MD | |
|
Beth Israel Deaconess Med Ctr, 110 Francis St, Ste 2a, Boston, MA 02215 | |
| (617) 632-8383 | |
| Not Available |
| Full Name | Sidharta P Gangadharan |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery |
| Experience | 29 Years |
| Location | Beth Israel Deaconess Med Ctr, Boston, Massachusetts |
| 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 |
|---|---|---|---|
| 1184656605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 158136 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beth Israel Deaconess Medical Center | Boston, MA | Hospital |
| Beth Israel Deaconess Hospital - Needham | Needham, MA | Hospital |
| Beth Israel Deaconess Hospital Plymouth | Plymouth, MA | Hospital |
| Beth Israel Deaconess Hospital - Milton | Milton, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc | 4486567104 | 1474 |
| Entity Name | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720037385 PECOS PAC ID: 4486567104 Enrollment ID: O20031203000426 |
| Entity Name | Boston University General Surgical Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104865567 PECOS PAC ID: 9830183763 Enrollment ID: O20040513000398 |
| Entity Name | Beth Israel Deaconess Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548202641 PECOS PAC ID: 8123936119 Enrollment ID: O20041001000827 |
| Mailing Address | Practice Location Address |
|---|---|
| Sidharta P Gangadharan, MD 124 Davis Ave, #3, Brookline, MA 02445-7634 Ph: (617) 632-8383 | Sidharta P Gangadharan, MD Beth Israel Deaconess Med Ctr, 110 Francis St, Ste 2a, Boston, MA 02215 Ph: (617) 632-8383 |
Laurence H Brinckerhoff, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 830 Harrison Ave Fl 3, Moakley Bldg., Boston, MA 02118 Phone: 617-638-5600 Fax: 617-638-7228 | |
Aviel Avraham Azulay, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 75 Francis St, Boston, MA 02115 Phone: 617-732-6824 | |
David C Liu, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 110 Francis St, Suite 2a, Boston, MA 02215 Phone: 617-632-8383 | |
Christopher Thomas Ducko, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 75 Francis St, Boston, MA 02115 Phone: 617-732-6824 Fax: 617-566-3441 | |
Gregory Stephen Couper, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: Brigham And Women's Hospital, Division Of Cardiac Surgery, Boston, MA 02115 Phone: 617-732-5500 | |
Dr. Niloo M Edwards, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 732 Harrison Ave, 3rd Floor, Boston, MA 02118 Phone: 617-638-5600 | |
John Young, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 75 Francis St, Boston, MA 02115 Phone: 617-732-6824 Fax: 617-566-3441 |