DR. MAYANKA TICKOO (NPI# 1669736765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669736765 |
| Entity Type | Individual |
| Full Name | DR. MAYANKA TICKOO |
| Credential | M.D., M.S. |
| Practice Address |
300 Cedar St Fl 4 New Haven CT 06519 |
| Mailing Address |
20 York St New Haven CT 06510-3220 |
| Practice Telephone | 2037371240 |
| Mailing Telephone | 2037371240 |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2018-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
60511 | CT | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
60511 | CT | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
265375 | MA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 800 Washington St, Tufts Medical Center, Pulmonary Dept, Boston, MA 021111552 | 6176366366 | 6176366361 |
| Street Address |
300 CEDAR ST FL 4 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
| 1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
| 1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
| 1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
| 1619263464 | William Krahe | Social Worker | 400- 428 Columbus Avenue, New Haven, CT 06519 | 2011-06-21 |
| Find all providers in zip 06519 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356761290 | Issahar Ben-dov | Internal Medicine | 300 Cedar St, Pulmonary &critical Care Section, Tac-441 South, New Haven, CT 06520-8057 | 2014-04-18 |
| 1215143953 | Kaiser Toosy | Internal Medicine | 136 Sherman Ave Ste 302, New Haven, CT 06511-5210 | 2007-05-16 |
| 1376918870 | Naftali Kaminski | Internal Medicine | 20 York St, New Haven, CT 06510-3220 | 2015-12-09 |
| 1538477658 | Inderjit Singh | Internal Medicine | 300 Cedar Street, Tac-441 South, New Haven, CT 06519 | 2010-09-23 |
| 1487818886 | Mazen O. Al-qadi | Internal Medicine | 20 York Street, Cb-2041, New Haven, CT 06510 | 2008-07-15 |
| 1689882359 | Cardiothoracic and Vascular Group | Internal Medicine | 175 Sherman Ave, New Haven, CT 06511-4301 | 2007-05-18 |
| 1215144100 | Pulmonary Care, PC | Internal Medicine | 136 Sherman Ave, Suite#504, New Haven, CT 06511-5238 | 2007-05-17 |
| 1295856714 | Lung Associates of Connecticut, LLC | Internal Medicine | 46 Prince St, New Haven, CT 06519-1600 | 2007-04-02 |
| 1679638407 | Pulmonary Associates of Newhaven PC | Internal Medicine | 60 Temple St, 7f, New Haven, CT 06510 | 2006-12-22 |
| 1023113644 | Anuradha Ramaswamy | Internal Medicine | 789 Howard Ave, Winchester Chest Clinic 2nd Floor, New Haven, CT 06519-1304 | 2006-09-14 |
| Find all providers in NEW HAVEN | ||||
Please comment or provide details below to improve the information on DR. MAYANKA TICKOO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.