| Siva Prasad Mullangi, MD | |
|
417 Northcrest Dr, Springfield, TN 37172-3973 | |
| (615) 384-8211 | |
| (615) 384-5859 |
| Full Name | Siva Prasad Mullangi |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 417 Northcrest Dr, Springfield, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750592242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 69619 (Tennessee) | Primary |
| Entity Name | Pih Health Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609233899 PECOS PAC ID: 8426951328 Enrollment ID: O20040128001177 |
| Mailing Address | Practice Location Address |
|---|---|
| Siva Prasad Mullangi, MD 417 Northcrest Dr, Springfield, TN 37172-3973 Ph: (615) 384-8211 | Siva Prasad Mullangi, MD 417 Northcrest Dr, Springfield, TN 37172-3973 Ph: (615) 384-8211 |
Jonathan M. Kroser, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 417 Northcrest Dr, Springfield, TN 37172 Phone: 615-384-4369 Fax: 615-384-5859 | |
Daniel L Davis, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 417 Northcrest Dr, Springfield, TN 37172 Phone: 615-384-8211 Fax: 615-384-5859 | |
James G Mcdowell Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 417 Northcrest Dr, Springfield, TN 37172 Phone: 615-384-8211 Fax: 615-384-8211 | |
Keith L. Goldberg, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 417 Northcrest Dr, Springfield, TN 37172 Phone: 615-384-8211 Fax: 615-384-5859 | |
Dr. Sara Long, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 322 Northcrest Dr, Springfield, TN 37172 Phone: 615-384-2714 | |
Marcus Alvarez, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 417 Northcrest Dr, Springfield, TN 37172 Phone: 615-384-8211 Fax: 615-384-8502 |