Manju Arun Mavanur (NPI# 1164434932, PAC ID# 8426054461) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1164434932 |
| PAC ID by PECOS | 8426054461 |
| Professional Enrollment ID | I20120820000707 |
| Full Name | Manju Arun Mavanur |
| Organization Legal Name | MID-ATLANTIC NEPHROLOGY ASSOCIATES PA |
| Address |
25 Crossroads Dr Suite 205 Owings Mills MD 21117-5421 |
| Phone Number | 4106027792 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1992 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 2769469006 |
| Number of Group Practice Members | 52 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210012 | SINAI HOSPITAL OF BALTIMORE |
| 210024 | MEDSTAR UNION MEMORIAL HOSPITAL |
| 210064 | LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL |
| 210040 | NORTHWEST HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 25 Crossroads Dr, Suite 205, Owings Mills, MD 21117-5421 | 4106027792 | MID-ATLANTIC NEPHROLOGY ASSOCIATES PA |
| Organization Legal Name | MID-ATLANTIC NEPHROLOGY ASSOCIATES PA |
| Physicians | 56 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marla G Brown | Nurse Practitioner | Mid-atlantic Nephrology Associates Pa | 516 N Rolling Rd, Suite 304, Catonsville, MD 21228-4140 |
| Shari T Lewis | Nephrology | Mid-atlantic Nephrology Associates Pa | 7106 Ridge Rd, Suite 155, Baltimore, MD 21237-3875 |
| Tin Maung | Nephrology | Mid-atlantic Nephrology Associates Pa | 5999 Harpers Farm Rd, Suite W 250, Columbia, MD 21044-3017 |
| Jeffrey N Posner | Nephrology | Mid-atlantic Nephrology Associates Pa | 1589 Sulpher Spring Rd, Suite 109, Baltimore, MD 21227 |
| Jennifer R Pullmann | Nurse Practitioner | Mid-atlantic Nephrology Associates Pa | 25 Crossroads Dr, Suite 205, Owings Mills, MD 21117-5421 |
| Anuradha Boddeti | Nephrology | Mid-atlantic Nephrology Associates Pa | 808 Landmark Dr, Suite 122, Glen Burnie, MD 21061-4984 |
| Jia Liu | Nephrology | Mid-atlantic Nephrology Associates Pa | 5999 Harpers Farm Rd, Suite W 250, Columbia, MD 21044-3017 |
| Tatiana G Smirnova | Nurse Practitioner | Mid-atlantic Nephrology Associates Pa | 1205 York Rd, Suite 26, Lutherville, MD 21093-6210 |
| Bayinnah Shabazz | Nephrology | Mid-atlantic Nephrology Associates Pa | 808 Landmark Dr, Suite 122, Glen Burnie, MD 21061-4984 |
| Shoaib Ali | Nephrology | Mid-atlantic Nephrology Associates Pa | 516 N Rolling Rd, Suite 304, Catonsville, MD 21228-4140 |
| Street Address |
25 CROSSROADS DR SUITE 205 |
| City | OWINGS MILLS |
| State | MD |
| Zip | 21117-5421 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer R Pullmann | Nurse Practitioner | Mid-atlantic Nephrology Associates Pa | 25 Crossroads Dr, Suite 205, Owings Mills, MD 21117-5421 |
| Craig R Suchin | Interventional Radiology | American Access Care of Towson LLC | 25 Crossroads Dr, Suite 110, Owings Mills, MD 21117-5444 |
| Ping Chen | Nephrology | Mid-atlantic Nephrology Associates Pa | 25 Crossroads Dr, Suite 205, Owings Mills, MD 21117-5421 |
| Steven B Caplan | Podiatry | 25 Crossroads Dr, Suite 410, Owings Mills, MD 21117-5439 | |
| Hossam Abdalla | Nephrology | Mid-atlantic Nephrology Associates Pa | 25 Crossroads Dr, Suite 205, Owings Mills, MD 21117-5421 |
| Leonid A Klopouh | Nephrology | Mid-atlantic Nephrology Associates Pa | 25 Crossroads Dr, Suite 205, Owings Mills, MD 21117-5421 |
| Edward J Goldman | Ophthalmology | 25 Crossroads Dr, Suite 412, Owings Mills, MD 21117-5439 | |
| Joel S Lahn | Nephrology | Mid-atlantic Nephrology Associates Pa | 25 Crossroads Dr, Suite 205, Owings Mills, MD 21117-5421 |
| Linnea K Cheseldine | Nurse Practitioner | Mid-atlantic Nephrology Associates Pa | 25 Crossroads Dr, Suite 205, Owings Mills, MD 21117-5421 |
| Rao A Khan | Nephrology | Mid-atlantic Nephrology Associates Pa | 25 Crossroads Dr, Suite 205, Owings Mills, MD 21117-5421 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy P Goldman | Optometry | 12621 Waterspout Ct, Owings Mills, MD 21117-1028 | |
| Brian M Granek | Optometry | 10995 Owings Mills Blvd, Suite 204, Owings Mills, MD 21117-1030 | |
| Yves Joseph Jr. | Physical Therapy | Maryland Sportscare and Rehab LLC | 10995 Owings Mills Blvd, Suite 210, Owings Mills, MD 21117-1030 |
| Daniel Sparks | Physical Therapy | Maryland Sportscare and Rehab LLC | 10995 Owings Mills Blvd, Suite 210, Owings Mills, MD 21117-1030 |
| Terryle Lee Williams | Clinical Social Worker | 22 Birch Bark Ct, Owings Mills, MD 21117-1319 | |
| Lakeia D Allen | Clinical Social Worker | 417 Doe Meadow Dr, Owings Mills, MD 21117-1367 | |
| Shneur Z Marshall | Clinical Social Worker | Jewish Community Services Inc | 3506 Gwynnbrook Ave, Owings Mills, MD 21117-1409 |
| Malya Levin | Clinical Social Worker | Jewish Community Services Inc | 3506 Gwynnbrook Ave, Owings Mills, MD 21117-1409 |
| Rachael S Abrams | Clinical Social Worker | Jewish Community Services Inc | 3506 Gwynnbrook Ave, Owings Mills, MD 21117-1409 |
| Rosa Perez | Clinical Social Worker | Jewish Community Services Inc | 3506 Gwynnbrook Ave, Owings Mills, MD 21117-1409 |
| Find all physicians in zip 21117 | |||
| City | OWINGS MILLS |
| Zip Code | 21117 |
| Specialty | NEPHROLOGY |
| City + Specialty | OWINGS MILLS + NEPHROLOGY |
Please comment or provide details below to improve the information on Manju Arun Mavanur.
| 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.