Nayana D Chennapatna Manjunath (NPI# 1073708939, PAC ID# 0143495309) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1073708939 |
| PAC ID by PECOS | 0143495309 |
| Professional Enrollment ID | I20111216000297 |
| Full Name | Nayana D Chennapatna Manjunath |
| Organization Legal Name | LIFESPAN PHYSICIAN GROUP INC |
| Address |
146 W River St Suite 11d Providence RI 02904-2609 |
| Phone Number | 4016061004 |
| Gender | F |
| Graduation Year | 2005 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 2567455082 |
| Number of Group Practice Members | 600 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410012 | THE MIRIAM HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 146 W River St, Suite 11d, Providence, RI 02904-2609 | 4016061004 | LIFESPAN PHYSICIAN GROUP INC |
| 148 W River St, Suite 8, Providence, RI 02904-2615 | 4016063000 | LIFESPAN PHYSICIAN GROUP INC |
| Organization Legal Name | LIFESPAN PHYSICIAN GROUP INC |
| Physicians | 560 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roy Souaid | Internal Medicine | Lifespan Physician Group Inc | 1500 Pontiac Ave, Suite 101, Cranston, RI 02920-4486 |
| Amritpal Singh Jawanda | Family Medicine | Lifespan Physician Group Inc | 639 Metacom Ave, Warren, RI 02885-2348 |
| Alisha Lakhani | Rheumatology | Lifespan Physician Group Inc | 407 E Ave, Suite 250, Pawtucket, RI 02860-5290 |
| Leah R Battista | Obstetrics/gynecology | Lifespan Physician Group Inc | 148 W River St, Suite 1g, Providence, RI 02904-2615 |
| Mahmoud Mowafy | Internal Medicine | Lifespan Physician Group Inc | 164 Summit Ave, Providence, RI 02906-2853 |
| Caroline Sizer | Physical Medicine and Rehabilitation | Lifespan Physician Group Inc | 765 Allens Ave, Suite 110, Providence, RI 02905-5443 |
| Christine Michele Leddy | Psychiatry | Lifespan Physician Group Inc | 11 Friendship St, Newport, RI 02840-2209 |
| Dana Siperstein | Psychiatry | Lifespan Physician Group Inc | 167 Point St, Providence, RI 02903-4771 |
| Brady Geronimo Case | Psychiatry | Lifespan Physician Group Inc | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 |
| Maurice Francis Joyce Iii | Anesthesiology | Lifespan Physician Group Inc | 55 Lambert Lind Hwy, Warwick, RI 02886-1074 |
| Street Address |
146 W RIVER ST SUITE 11D |
| City | PROVIDENCE |
| State | RI |
| Zip | 02904-2609 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melanie A Hill | Nurse Practitioner | The Miriam Hospital | 146 W River St, Fl 3, Providence, RI 02904-2609 |
| Rebecca E Soinski | Internal Medicine | The Miriam Hospital | 146 W River St, Fl 3, Providence, RI 02904-2609 |
| Kathy A Rebeiro | Nurse Practitioner | The Miriam Hospital | 146 W River St, Fl 3, Providence, RI 02904-2609 |
| Tanya B Tran | Psychologist, Clinical | Lifespan Physician Group Inc | 146 W River St, Suite 11b, Providence, RI 02904-2609 |
| Alison W Perry | Nurse Practitioner | The Miriam Hospital | 146 W River St, Fl 3, Providence, RI 02904-2609 |
| Molly A Fox | Physician Assistant | The Miriam Hospital | 146 W River St, Providence, RI 02904-2609 |
| Brankica Lazic Mazlagic | Internal Medicine | The Miriam Hospital | 146 W River St, Suite 11 A, Providence, RI 02904-2609 |
| Cristina Toba | Psychiatry | Lifespan Physician Group Inc | 146 W River St, Suite 11b, Providence, RI 02904-2609 |
| Jean M Capone | Nurse Practitioner | The Miriam Hospital | 146 W River St, Suite 11 A, Providence, RI 02904-2609 |
| Sharon L Vessella | Clinical Social Worker | The Miriam Hospital | 146 W River St, Fl 3, Providence, RI 02904-2609 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert B Patterson | Vascular Surgery | 486 Silver Spring St, Providence, RI 02904-1556 | |
| Nishit Shah | Colorectal Surgery (proctology) | University Surgical Associates, Inc. | 208 Collyer St, Suite 302, Providence, RI 02904-1560 |
| Laurel A Gay | Physician Assistant | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Adam Klipfel | Colorectal Surgery (proctology) | University Surgical Associates, Inc. | 208 Collyer St, Suite 302, Providence, RI 02904-1560 |
| Fredric V Christian | Cardiovascular Disease (cardiology) | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Roger D Raymond | Cardiovascular Disease (cardiology) | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Michelle Kristen Finkelman | Nurse Practitioner | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Olivia Macaskill | Nurse Practitioner | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Susan P Emaus | Physician Assistant | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Kenneth S Korr | Cardiovascular Disease (cardiology) | The Miriam Hospital | 208 Collyer St, Providence, RI 02904-1560 |
| Find all physicians in zip 02904 | |||
| City | PROVIDENCE |
| Zip Code | 02904 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | PROVIDENCE + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Nayana D Chennapatna Manjunath.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.