Mithun Sivadasan, | |
364 E Main St, Ansonia, CT 06401-1904 | |
(203) 734-4806 | |
Not Available |
Full Name | Mithun Sivadasan |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 8 Years |
Location | 364 E Main St, Ansonia, Connecticut |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912351594 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 1047 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Community Medical Center | Toms river, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kenneth Donovan Dpm Llc | 0446411086 | 5 |
Provider Name | Kenneth Donovan Dpm Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1417229493 PECOS PAC ID: 0446411086 Enrollment ID: O20120409000391 |
Mailing Address | Practice Location Address |
---|---|
Mithun Sivadasan, 370 Old Country Rd, Ste 100, Garden City, NY 11530-1702 Ph: (718) 920-4321 | Mithun Sivadasan, 364 E Main St, Ansonia, CT 06401-1904 Ph: (203) 734-4806 |
Yale Podiatry Group Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 364 E Main St, Yale Podiatry Group Pc, Ansonia, CT 06401 Phone: 203-734-4806 Fax: 203-734-8265 | |
Yale Podiatry Group Podiatrist Medicare: Medicare Enrolled Practice Location: 364 E Main St, Ansonia, CT 06401 Phone: 203-734-4806 Fax: 203-734-8265 | |
Jeffrey F Yale, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 364 E Main St, Ansonia, CT 06401 Phone: 203-734-4806 Fax: 203-734-8265 | |
Michael S Travisano, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 364 E Main St, Ansonia, CT 06401 Phone: 203-734-4806 Fax: 203-734-8265 |