| Sri Krishna Madan Mohan, MD | |
|
11100 Euclid Ave, Cleveland, OH 44106-1716 | |
| (216) 844-3800 | |
| Not Available |
| Full Name | Sri Krishna Madan Mohan |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 11100 Euclid Ave, Cleveland, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801825609 | NPI | - | NPPES |
| 000000537787 | Other | OH | ANTHEM NUMBER |
| 000000225072 | Other | OH | UNISON NUMBER |
| 414785 | Other | OH | AETNA NUMBER |
| 496700001 | Other | OH | CARESOURCE |
| 81335 | Other | OH | QUALCHOICE |
| 5283617 | Other | OH | AETNA NUMBER |
| 740678 | Other | OH | BUCKEYE NUMBER |
| 000000305457 | Other | OH | ANTHEM BLUE CROSS BLUE SH |
| P73553 | Other | OH | SUMMACARE |
| 100656 | Other | OH | KAISER |
| 1765539 | Other | OH | UNITED HEALTHCARE |
| 2036960 | Medicaid | OH | |
| 341487428 | Other | OH | TAX ID |
| P00045244 | Other | OH | RAILROAD MEDICARE |
| P00422676 | Other | OH | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35073553 (Ohio) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 35073553 (Ohio) | Primary |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Sri Krishna Madan Mohan, MD 8055 Mayfield Rd Ste 105, Chesterland, OH 44026-2447 Ph: () - | Sri Krishna Madan Mohan, MD 11100 Euclid Ave, Cleveland, OH 44106-1716 Ph: (216) 844-3800 |
Amir Razavi, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-7800 | |
Dr. Francois Fadell, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 18200 Lorain Ave, Moll Cancer Center At Fairview- Respiratory Institute, Cleveland, OH 44111 Phone: 216-444-6503 | |
Sana Hasan, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195 Phone: 330-721-5700 | |
Laura Ferreira Provenzano, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave # Q7, Cleveland, OH 44195 Phone: 216-445-4926 Fax: 216-444-9378 | |
Catherine Frakes Vozzo, DO Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-444-4444 Fax: 216-445-6290 | |
Tarek Ashour, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave # Q7, Cleveland, OH 44195 Phone: 216-444-5040 | |
Mrs. Efewongbe Benedicta Oleghe, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2351 E 22nd Street, St Vincent's Charity Medical Center, Cleveland, OH 44115 Phone: 216-363-2725 |