Ajit Mammen
M.B.B.S. | Pediatric Critical Care Medicine | Male
Ajit Mammen, M.B.B.S. is a Philadelphia, Pennsylvania based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Ajit Mammen is
34th & Civic Center Blvd, Children's Hospital Of Philadelphia, Philadelphia, Pennsylvania - 19104-4399. He can be contacted on phone at
215-590-1000 and fax number 215-590-2204.
Ajit Mammen is a sole proprietor of his business.
NPI number (Unique professional ID) for Ajit Mammen is
1417147646 which was assigned by NPPES on 25 Jul, 2007 and it was last updated on 25 Jul, 2007.
Ajit Mammen license number is
MD432238 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in Pennsylvania.
Ajit Mammen is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Ajit Mammen basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Ajit Mammen |
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| Credential : | M.B.B.S. |
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| Gender : | Male |
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Business Address:
Ajit Mammen address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 34th & Civic Center Blvd, Children's Hospital Of Philadelphia
Philadelphia, PA, 19104-4399
United States |
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| Phone Number : | 215-590-1000 |
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| Fax Number : | 215-590-2204 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1417147646 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 25 Jul, 2007 |
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| Last Updated On : | 25 Jul, 2007 |
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Medicare Participation:
Ajit Mammen participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 5991838401 |
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| Medicare Enrollment ID : | I20100804001059 |
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| Primary Specialty : | Critical Care (intensivists) |
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| Medical School : | Other |
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| Graduation Year : | 1998 |
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| Accepts Medicare? | Yes. Ajit Mammen accepts medicare insurance. |
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Group Practice Association:
Ajit Mammen is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Ajit Mammen is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Stc Pediatrics Llc | 7315372323 | 38 | 300 E Hunting Park Ave
St Christophers Ped Assoc Child Protection Pca
Philadelphia, PA - 191246018
Ph: 2154278363 | Yes |
| Stc Pediatrics Llc | 7315372323 | 38 | 160 E Erie Ave
Philadelphia, PA - 191341011 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ajit Mammen are as mentioned. Primary taxonomy code for Ajit Mammen, M.B.B.S. is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | MD432238 | PA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3535 Market St, 12th Floor, Suite 1220 - Chop Dept Of Msa
Philadelphia, PA, 19104-3309
United States |
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| Phone Number : | 215-590-4670 |
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| Fax Number : | 215-590-2204 |
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Business Location:
Patients can refer following map for directions to
Ajit Mammen practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.