Manjunath Govindaiah (NPI# 1104298918, PAC ID# 9830451640) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HOSPITALIST.
| Nation Provider ID (NPI) | 1104298918 |
| PAC ID by PECOS | 9830451640 |
| Professional Enrollment ID | I20180314001599 |
| Full Name | Manjunath Govindaiah |
| Organization Legal Name | SIGNATURE HEALTHCARE MEDICAL GROUP INC |
| Address |
178 Quincy Ave Brockton MA 02302-2803 |
| Phone Number | 5085867400 |
| Gender | M |
| Graduation Year | 1989 |
| Primary Specialty | HOSPITALIST |
| Group Practice PAC ID | 7719876267 |
| Number of Group Practice Members | 213 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220052 | SIGNATURE HEALTHCARE BROCKTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 178 Quincy Ave, Brockton, MA 02302-2803 | 5085867400 | SIGNATURE HEALTHCARE MEDICAL GROUP INC |
| Organization Legal Name | SIGNATURE HEALTHCARE MEDICAL GROUP INC |
| Physicians | 217 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharmila Srinivasan | Ophthalmology | Signature Healthcare Medical Group Inc | 179 Quincy St, Suite 3, Brockton, MA 02302-2966 |
| Sarah Bremer | Physician Assistant | Signature Healthcare Medical Group Inc | 130 Quincy Ave, Brockton, MA 02302-2803 |
| Stanley F Gould | Obstetrics/gynecology | Signature Healthcare Medical Group Inc | 505 Bedford St, Bridgewater, MA 02324-3117 |
| Kateri I Mccarthy | Family Medicine | Signature Healthcare Medical Group Inc | 545 Bedford St, Bridgewater, MA 02324-3117 |
| Krystine Kelley | Nurse Practitioner | Signature Healthcare Medical Group Inc | 430 Liberty St, Suite 7, Hanson, MA 02341-1113 |
| Kristina M Anderson | Nurse Practitioner | Signature Healthcare Medical Group Inc | 110 Liberty St, Brockton, MA 02301-5521 |
| Marc Scott Spiegel | Podiatry | Signature Healthcare Medical Group Inc | 1215 Broadway, Raynham, MA 02767-1942 |
| Haroon Zubair | Internal Medicine | Signature Healthcare Medical Group Inc | 650 Centre St, Brockton, MA 02302-3308 |
| George W Lovett | Dermatology | Signature Healthcare Medical Group Inc | 1300 Belmont St, Brockton, MA 02301-4433 |
| Tutasi K Waters | Obstetrics/gynecology | Signature Healthcare Medical Group Inc | 31 Roche Brothers Way, North Easton, MA 02356-1032 |
| Street Address |
178 QUINCY AVE |
| City | BROCKTON |
| State | MA |
| Zip | 02302-2803 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah B Abeles | General Surgery | Signature Healthcare Medical Group Inc | 178 Quincy Ave, Brockton, MA 02302-2803 |
| Gregory W Woo | Obstetrics/gynecology | Signature Healthcare Medical Group Inc | 178 Quincy Ave, Brockton, MA 02302-2803 |
| Virginia Sabet | Internal Medicine | Signature Healthcare Medical Group Inc | 178 Quincy Ave, Brockton, MA 02302-2803 |
| Elizabeth A Moore | Obstetrics/gynecology | Signature Healthcare Medical Group Inc | 178 Quincy Ave, Brockton, MA 02302-2803 |
| Engel B Bido Santos | Internal Medicine | Signature Healthcare Medical Group Inc | 178 Quincy Ave, Brockton, MA 02302-2803 |
| Ajay Mehta | Psychiatry | Signature Healthcare Medical Group Inc | 178 Quincy Ave, Brockton, MA 02302-2803 |
| Helen Le | Optometry | Signature Healthcare Medical Group Inc | 178 Quincy Ave, Brockton, MA 02302-2803 |
| Grace Kooper | Psychiatry | Signature Healthcare Medical Group Inc | 178 Quincy Ave, Brockton, MA 02302-2803 |
| Sana Muqqadus | Nurse Practitioner | Signature Healthcare Medical Group Inc | 178 Quincy Ave, Brockton, MA 02302-2803 |
| Pamela Gordon | Internal Medicine | Signature Healthcare Medical Group Inc | 178 Quincy Ave, Brockton, MA 02302-2803 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Bremer | Physician Assistant | Signature Healthcare Medical Group Inc | 130 Quincy Ave, Brockton, MA 02302-2803 |
| Marina Freyman | Nurse Practitioner | Signature Healthcare Medical Group Inc | 176 Quincy Ave, Brockton, MA 02302-2803 |
| Aida Mallouhi Hanna | Internal Medicine | Signature Healthcare Medical Group Inc | 130 Quincy Ave, Brockton, MA 02302-2803 |
| Jean-pierre Michel Geagea | Cardiovascular Disease (cardiology) | Signature Healthcare Medical Group Inc | 130 Quincy Ave, Brockton, MA 02302-2803 |
| Eduardo Moraes Leao Peixoto | Internal Medicine | Signature Healthcare Medical Group Inc | 130 Quincy Ave, Brockton, MA 02302-2803 |
| Victoria M Zappi | Physician Assistant | Signature Healthcare Medical Group Inc | 130 Quincy Ave, Brockton, MA 02302-2803 |
| Elizabeth Buckley | Physician Assistant | Signature Healthcare Medical Group Inc | 130 Quincy Ave, Brockton, MA 02302-2803 |
| Meher A Ahmed | Internal Medicine | Signature Healthcare Medical Group Inc | 178 Quincy Ave, Brockton, MA 02302-2803 |
| Renee Brown | Nurse Practitioner | Signature Healthcare Medical Group Inc | 178 Quincy Ave, Brockton, MA 02302-2803 |
| Maulshree Gupta | Family Medicine | Signature Healthcare Medical Group Inc | 130 Quincy Ave, Brockton, MA 02302-2803 |
| Find all physicians in zip 02302 | |||
| City | BROCKTON |
| Zip Code | 02302 |
| Specialty | HOSPITALIST |
| City + Specialty | BROCKTON + HOSPITALIST |
Please comment or provide details below to improve the information on Manjunath Govindaiah.
| 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.