| Srinand Mandyam, MD | |
|
455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768 | |
| (770) 962-3642 | |
| (770) 962-3643 |
| Full Name | Srinand Mandyam |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 20 Years |
| Location | 455 Philip Blvd Ste 140, Lawrenceville, Georgia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306162037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 70149 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital Forsyth | Cumming, GA | Hospital |
| Northeast Georgia Medical Center, Inc | Gainesville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Georgia Pain And Wellness Center | 8527200864 | 53 |
| Entity Name | Georgia Pain And Wellness Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356781181 PECOS PAC ID: 8527200864 Enrollment ID: O20130815000433 |
| Entity Name | Sleep Ezzy |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154852820 PECOS PAC ID: 4486920295 Enrollment ID: O20171023003067 |
| Mailing Address | Practice Location Address |
|---|---|
| Srinand Mandyam, MD 455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768 Ph: (770) 962-3642 | Srinand Mandyam, MD 455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768 Ph: (770) 962-3642 |
Dr. Robert E Black Iii, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-277-3056 Fax: 855-204-5244 | |
Dr. Craig M Spector, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30045 Phone: 770-963-9905 | |
Dr. Tao Hong, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-1000 | |
Dr. Nazanin Jafarian, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-277-3056 Fax: 855-204-5244 | |
Dr. Jeffrey N Gladstein, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-277-3056 Fax: 855-204-5244 | |
Dr. Eric Benjamin Brown, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 713-822-2421 | |
Manuel Angel Colon-dejesus, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 455 Philip Blvd Ste 140, Lawrenceville, GA 30046 Phone: 770-962-3642 Fax: 770-962-3643 |