Vasudevarao Mandava (NPI# 1073501821, PAC ID# 5092899013) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1073501821 |
| PAC ID by PECOS | 5092899013 |
| Professional Enrollment ID | I20080228000400 |
| Full Name | Vasudevarao Mandava |
| Organization Legal Name | MYCARE HEALTH CENTER |
| Address |
18 Market St C Mount Clemens MI 48043-7403 |
| Phone Number | 5867832222 |
| Gender | M |
| Graduation Year | 1967 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 6406039403 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230227 | MCLAREN MACOMB |
| Address | Phone | Organization |
|---|---|---|
| 18 Market St C, Mount Clemens, MI 48043-7403 | 5867832222 | MYCARE HEALTH CENTER |
| Organization Legal Name | MYCARE HEALTH CENTER |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hemlatta C Desai | Family Medicine | Mycare Health Center | 43740 N Groesbeck Hwy, Clinton Township, MI 48036-1139 |
| Ann R Gillett-elrington | Obstetrics/gynecology | Mycare Health Center | 6900 E 10 Mile Rd, Center Line, MI 48015-1168 |
| Scott B Mccormick | Physician Assistant | Mycare Health Center | 18 Market St C, Mount Clemens, MI 48043-7403 |
| Joseph T Naughton | Family Medicine | Mycare Health Center | 6900 E 10 Mile Rd, Center Line, MI 48015-1168 |
| Susan M Zielonka | Family Medicine | Mycare Health Center | 6900 E 10 Mile Rd, Center Line, MI 48015-1168 |
| Maheshkumar A Patel | Emergency Medicine | Mycare Health Center | 18 Market St C, Mount Clemens, MI 48043-7403 |
| Adrianne M Couwlier | Nurse Practitioner | Mycare Health Center | 6900 E 10 Mile Rd, Center Line, MI 48015-1168 |
| Aleksander A Domiczek | Family Practice | Mycare Health Center | 18 Market St C, Mount Clemens, MI 48043-7403 |
| Street Address |
18 MARKET ST C |
| City | MOUNT CLEMENS |
| State | MI |
| Zip | 48043-7403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott B Mccormick | Physician Assistant | Mycare Health Center | 18 Market St C, Mount Clemens, MI 48043-7403 |
| Maheshkumar A Patel | Emergency Medicine | Mycare Health Center | 18 Market St C, Mount Clemens, MI 48043-7403 |
| Aleksander A Domiczek | Family Practice | Mycare Health Center | 18 Market St C, Mount Clemens, MI 48043-7403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John H Trask | Psychologist, Clinical | 650 E Big Beaver Rd A, Troy, MI 48043-1432 | |
| Laura L Kelahan | Physical Therapy | Advanced Health Alliance LLC | 395 N Groesbeck Hwy L, Health Point Physical Therapy, Mount Clemens, MI 48043-1561 |
| John Michael M Vasquez | Physical Therapy | Advanced Health Alliance LLC | 395 N Groesbeck Hwy L, Health Point Physical Therapy, Mount Clemens, MI 48043-1561 |
| Melinda K Ryde | Clinical Social Worker | Alternative Community Living Inc | 175 N Groesbeck Hwy, New Passages Behavioral Health and Rehabilitation, Mount Clemens, MI 48043-1562 |
| Hilary A Barrington | Clinical Social Worker | Alternative Community Living Inc | 175 N Groesbeck Hwy, New Passages Behavioral Health and Rehabilitation, Mount Clemens, MI 48043-1562 |
| Melvine Miller | Clinical Social Worker | Alternative Community Living Inc | 175 N Groesbeck Hwy, New Passages Behavioral Health and Rehabilitation, Mount Clemens, MI 48043-1562 |
| Meghan E Slater | Clinical Social Worker | Alternative Community Living Inc | 175 N Groesbeck Hwy, New Passages Behavioral Health and Rehabilitation, Mount Clemens, MI 48043-1562 |
| Baljit Singh | Nurse Practitioner | Henry Ford Macomb Hospital Corporation | 215 N Ave, Mount Clemens, MI 48043-1716 |
| Amy E Joseph | Physician Assistant | Top Cardiology Associates of Michigan Pllc | 215 N Ave, Mount Clemens, MI 48043-1716 |
| Arsenio V Deleon | Pulmonary Disease | 215 N Ave, Mount Clemens, MI 48043-1716 | |
| Find all physicians in zip 48043 | |||
| City | MOUNT CLEMENS |
| Zip Code | 48043 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MOUNT CLEMENS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Vasudevarao Mandava.
| 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.