Anish S Nanavati (NPI# 1154582989, PAC ID# 3870763766) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1154582989 |
| PAC ID by PECOS | 3870763766 |
| Professional Enrollment ID | I20151203001620 |
| Full Name | Anish S Nanavati |
| Organization Legal Name | MEDSTAR MEDICAL GROUP-SOUTHERN MARYLAND LLC |
| Address |
12070 Old Line Ctr Suite 100 Waldorf MD 20602-2534 |
| Phone Number | 3017057870 |
| Gender | M |
| Medical School | NORTHEASTERN OHIO UNIVERSITIES COLLEGE OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1355667056 |
| Number of Group Practice Members | 152 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210028 | MEDSTAR SAINT MARY'S HOSPITAL |
| 210035 | UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER |
| 090004 | MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 12070 Old Line Ctr, Suite 100, Waldorf, MD 20602-2534 | 3017057870 | MEDSTAR MEDICAL GROUP-SOUTHERN MARYLAND LLC |
| Organization Legal Name | MEDSTAR MEDICAL GROUP-SOUTHERN MARYLAND LLC |
| Physicians | 137 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luis A Velazquez | Certified Registered Nurse Anesthetist (crna) | Medstar Medical Group-southern Maryland LLC | 130 Hospital Rd, Suite 300, Prince Frederick, MD 20678-4057 |
| Moenil Patel | Nurse Practitioner | Medstar Medical Group-southern Maryland LLC | 12070 Old Line Ctr, Suite 100, Waldorf, MD 20602-2534 |
| Lukasz R Kiljanek | Internal Medicine | Medstar Medical Group-southern Maryland LLC | 3581 Old Washington Rd, Suite D, Waldorf, MD 20602-3270 |
| Syed K Hussaini | Internal Medicine | Medstar Medical Group-southern Maryland LLC | 28030 Old Village Rd, Mechanicsville, MD 20659-4288 |
| Sailaja C Nandipati | Rheumatology | Medstar Medical Group-southern Maryland LLC | 3500 Old Washington Rd, 102 Medstar Shah Waldorf Cancer Center, Waldorf, MD 20602-3205 |
| Adele A Fields | Diagnostic Radiology | Medstar Medical Group-southern Maryland LLC | 24035 Three Notch Rd, Hollywood, MD 20636-4871 |
| George B Bren | Cardiovascular Disease (cardiology) | Medstar Medical Group-southern Maryland LLC | 11707 Livingston Rd, Suite 306, Fort Washington, MD 20744-5151 |
| Paul B Berez | Internal Medicine | Medstar Medical Group-southern Maryland LLC | 2200 Defense Hwy 100, Crofton, MD 21114-2458 |
| Michael Edward Perraut | Internal Medicine | Medstar Medical Group-southern Maryland LLC | 22590 Shady Ct, California, MD 20619-5009 |
| John C Patterson | Cardiovascular Disease (cardiology) | Medstar Medical Group-southern Maryland LLC | 7501 Surratts Rd, Suite 201a, Clinton, MD 20735-3362 |
| Street Address |
12070 OLD LINE CTR SUITE 100 |
| City | WALDORF |
| State | MD |
| Zip | 20602-2534 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Moenil Patel | Nurse Practitioner | Medstar Medical Group-southern Maryland LLC | 12070 Old Line Ctr, Suite 100, Waldorf, MD 20602-2534 |
| Basirmohmad F Kolia | Cardiovascular Disease (cardiology) | Medstar Medical Group-southern Maryland LLC | 12070 Old Line Ctr, Suite 100, Waldorf, MD 20602-2534 |
| Joseph Distefano | Podiatry | Larry S Hotchkiss Dpm PC | 12070 Old Line Ctr, Suite 110, Waldorf, MD 20602-2503 |
| Anna P Thottan | Endocrinology | Medstar Medical Group-southern Maryland LLC | 12070 Old Line Ctr, Suite 100, Waldorf, MD 20602-2534 |
| Vishal Mungal | Pulmonary Disease | Medstar Medical Group-southern Maryland LLC | 12070 Old Line Ctr, Suite 100, Waldorf, MD 20602-2534 |
| Arnel Castrence | Internal Medicine | Medstar Medical Group-southern Maryland LLC | 12070 Old Line Ctr, Suite 100, Waldorf, MD 20602-2534 |
| Dawn S Christopher | Cardiovascular Disease (cardiology) | Chesapeake and Washington Heart Care, PC | 12070 Old Line Ctr, Suite 303, Waldorf, MD 20602-3535 |
| Kiran D Mehta | Pulmonary Disease | Medstar Medical Group-southern Maryland LLC | 12070 Old Line Ctr, Suite 100, Waldorf, MD 20602-2534 |
| Claude Oather Spears | Nurse Practitioner | Privia Care Center LLC | 12070 Old Line Ctr, Suite 302, Waldorf, MD 20602-2567 |
| Robert Timothy Pace | Family Medicine | Privia Care Center LLC | 12070 Old Line Ctr, Suite 302, Waldorf, MD 20602-2567 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin R Pimentel | General Practice | The Physicians Group Chartered | 601 Post Office Rd, Suite 1a, Waldorf, MD 20602-1912 |
| Patricia Vance | Psychologist, Clinical | Coquus | 601 Post Office Rd, 2d, Waldorf, MD 20602-1912 |
| Paul E Donato | Clinical Social Worker | Coquus | 601 Post Office Rd, 2d, Waldorf, MD 20602-1912 |
| Michael A Pimentel | General Practice | The Physicians Group Chartered | 601 Post Office Rd, Suite 1a, Waldorf, MD 20602-1912 |
| Charles L Ruby | Psychologist, Clinical | Pinnacle Center for Mental Health and Human Relations LLC | 603 Post Office Rd, Suite 210, Waldorf, MD 20602-1914 |
| Lee F Owens | Psychologist, Clinical | Pinnacle Center for Mental Health and Human Relations LLC | 603 Post Office Rd, Suite 210, Waldorf, MD 20602-1914 |
| Mary Beth Voorhees | Clinical Social Worker | Walden Sierra Corporation | 85 High St, Waldorf, MD 20602-2150 |
| Larry S Hotchkiss | Podiatry | Larry S Hotchkiss Dpm PC | 12070 Old Line Ctr, Suite 110, Waldorf, MD 20602-2503 |
| Justin G Pointer | Podiatry | Larry S Hotchkiss Dpm PC | 12070 Old Line Ctr, Suite 110, Waldorf, MD 20602-2503 |
| Seth A Weaver | Podiatry | Larry S Hotchkiss Dpm PC | 12070 Old Line Ctr, Suite 110, Waldorf, MD 20602-2503 |
| Find all physicians in zip 20602 | |||
| City | WALDORF |
| Zip Code | 20602 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WALDORF + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Anish S Nanavati.
| 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.