Mana Medical Group LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

ME114143 Issued in FL

Legal business name

MANA MEDICAL GROUP LLC

Practice address

1502 N Donnelly St Ste 107
Mount Dora, FL 32757-2846

Phone

(407) 605-5621

NPI assigned

Aug 4, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Avinash Bhandary, MDNPI 1740465707

Title

Physician

Phone

(352) 383-7703

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Avinash Krishna Bhandary, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Mount Dora, FL
  • NPI 1740465707
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518134400000",
    "number": "1649656331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 EAST ROBINSON STREET",
            "address_2": "UNIT 1810",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32801",
            "telephone_number": "860-216-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 N DONNELLY ST STE 107",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572846",
            "telephone_number": "407-605-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANA MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2018-02-09",
        "status": "A",
        "authorized_official_last_name": "BHANDARY",
        "authorized_official_first_name": "AVINASH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "352-383-7703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME114143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Delaney Maass, AU.D.
• Maricely Gonzalez Macion, O.D.
• Lily Mackenzie, BT
• Courtney Maclellan
• Raoul D Maizel, MD
• Adrian Manguit, OTR
• Brianne Marie Manley
• Christine Mann
• Manoogian Orthopedic Center, P.a.
• Vrej K Manoogian, D.O.

• Interventional Pain Medicine Physician in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.