| Vijay Adusumilli, MD | |
|
36000 Euclid Ave, Willoughby, OH 44094 | |
| (440) 953-6203 | |
| (440) 953-6202 |
| Full Name | Vijay Adusumilli |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 36000 Euclid Ave, Willoughby, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487615647 | NPI | - | NPPES |
| 2342558 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 35081531A (Ohio) | Primary |
| Entity Name | Lawton Indian Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760489223 PECOS PAC ID: 6406800234 Enrollment ID: O20050304000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Vijay Adusumilli, MD 45 Chatfield Dr, Painesville, OH 44077 Ph: (440) 358-0260 | Vijay Adusumilli, MD 36000 Euclid Ave, Willoughby, OH 44094 Ph: (440) 953-6203 |
Mark Lehman, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-375-8166 | |
Edmundo R Mandac, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-953-6203 Fax: 440-953-6202 | |
Marc Allen, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-953-6203 Fax: 440-953-6202 | |
Dr. Sofia Teresa Zindel Melgarejo, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-953-9600 | |
Barbara Jordan, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-953-6203 Fax: 440-953-6202 | |
Stephanie Ann Schnetz, D,O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-953-9600 |