Brahmaiah Tandra (NPI# 1144206087, PAC ID# 8628978921) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1144206087 |
| PAC ID by PECOS | 8628978921 |
| Professional Enrollment ID | I20040128000290 |
| Full Name | Brahmaiah Tandra |
| Organization Legal Name | ASHTABULA COUNTY MEDICAL CENTER |
| Address |
2863 State Route 45 N Rock Creek OH 44084-9352 |
| Phone Number | 4405633400 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1972 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 8820075104 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360245 | GLENBEIGH HEALTH SOURCES |
| Address | Phone | Organization |
|---|---|---|
| 8224 Mentor Ave, Suite 208, Mentor, OH 44060-5743 | 4403922222 | GLOVAN, POLLAK AND ASSOCIATES LLC |
| 2863 State Route 45 N, Rock Creek, OH 44084-9352 | 4405633400 | ASHTABULA COUNTY MEDICAL CENTER |
| Organization Legal Name | ASHTABULA COUNTY MEDICAL CENTER |
| Physicians | 97 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pelumi Adedayo | Obstetrics/gynecology | Ashtabula County Medical Center | 524 W 24th St, Ashtabula, OH 44004-3423 |
| Tanya M. Burdick | Nurse Practitioner | Ashtabula County Medical Center | 1028 S Broadway, Geneva, OH 44041-7124 |
| Allison J Megyesi | Nurse Practitioner | Ashtabula County Medical Center | 2422 Lake Ave, Ashtabula, OH 44004-4985 |
| Jennifer M Stauffer | Nurse Practitioner | Ashtabula County Medical Center | 2259 Lake Ave, Ashtabula, OH 44004-3437 |
| Ashok V Kondru | Gastroenterology | Ashtabula County Medical Center | 2112 Lake Ave, Ashtabula, OH 44004-3436 |
| Sang Won Dacri Kim | Vascular Surgery | Ashtabula County Medical Center | 2420 Lake Ave, Ashtabula, OH 44004-4954 |
| Mitchell I Ballin | Hospitalist | Ashtabula County Medical Center | 2420 Lake Ave, Ashtabula, OH 44004-4954 |
| Joan Kerosky | Qualified Audiologist | Ashtabula County Medical Center | 2420 Lake Ave, Ashtabula, OH 44004-4954 |
| Abdul Qavi | Hospitalist | Ashtabula County Medical Center | 2420 Lake Ave, Ashtabula, OH 44004-4954 |
| James H Chillcott | Family Medicine | Ashtabula County Medical Center | 2259 Lake Ave, Ashtabula, OH 44004-3437 |
| Street Address |
2863 STATE ROUTE 45 N |
| City | ROCK CREEK |
| State | OH |
| Zip | 44084-9352 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donna M Sheahan | Nurse Practitioner | Gma Consultants Inc | 2863 State Route 45 N, Glenbeigh Hsptl, Rock Creek, OH 44084 |
| William E Goldman | Pediatric Medicine | Gma Consultants Inc | 2863 State Route 45 N, Glenbeigh Hsptl, Rock Creek, OH 44084 |
| Joseph F Lydon Jr. | Addiction Medicine | Gma Consultants Inc | 2863 State Route 45 N, Glenbeigh Hsptl, Rock Creek, OH 44084 |
| Michael Joseph Primc | Psychiatry | Ashtabula County Medical Center | 2863 State Route 45 N, Rock Creek, OH 44084-9352 |
| Joseph Sitarik | Family Practice | Gma Consultants Inc | 2863 State Route 45 N, Glenbeigh Hsptl, Rock Creek, OH 44084 |
| City | ROCK CREEK |
| Zip Code | 44084 |
| Specialty | PSYCHIATRY |
| City + Specialty | ROCK CREEK + PSYCHIATRY |
Please comment or provide details below to improve the information on Brahmaiah Tandra.
| 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.