| Venkatraman Thulasi, | |
| 1417 8th Ave, Bethlehem, PA 18018-2256 | |
| (484) 526-5210 | |
| Not Available | 
| Full Name | Venkatraman Thulasi | 
|---|---|
| Gender | Male | 
| Speciality | Psychiatry & Neurology - Clinical Neurophysiology | 
| Location | 1417 8th Ave, Bethlehem, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1669146411 | NPI | - | NPPES | 
| 01251990 | Other | NJ | RUTGERS-NJMS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | MD485414 (Pennsylvania) | Primary | 
| Entity Name | St Lukes Physician Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 | 
| Entity Name | Gslpg, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1366006702 PECOS PAC ID: 7810226875 Enrollment ID: O20190917001763 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Venkatraman Thulasi, 1417 8th Ave, Bethlehem, PA 18018-2256 Ph: (484) 526-5210 | Venkatraman Thulasi, 1417 8th Ave, Bethlehem, PA 18018-2256 Ph: (484) 526-5210 | 
| Edgar M Vizcaino, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 865 E 4th St, Bethlehem, PA 18015 Phone: 484-221-9136 Fax: 484-221-9130 | |
| Brendan Elias,  Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 801 Ostrum St, Bethlehem, PA 18015 Phone: 866-785-8537 | |
| Dr. Sandra Wandji Veigne, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Bethlehem, PA 18015 Phone: 484-822-5700 | |
| Dr. Jonathan P. Hosey, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1417 8th Ave, Bethlehem, PA 18018 Phone: 484-526-5210 Fax: 484-526-5237 | |
| Bradford Albrecht, DO MPH Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 257 Brodhead Rd, Bethlehem, PA 18017 Phone: 484-822-5700 | |
| Yassar Odhejo,  Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2545 Schoenersville Rd Fl 5, Bethlehem, PA 18017 Phone: 484-884-6503 Fax: 484-884-6504 | |
| Brian Hanrahan, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1417 8th Ave, Bethlehem, PA 18018 Phone: 484-526-5210 |