1900 WOODLAND DR
MANITOWOC, WI 54220-9662 US PECOS Enrolled
Pradeep GiriyapPA
Internal Medicine Physician
- MANITOWOC, WI
- Phone: (920)-320-6212
- Last Updated 6/3/2008
Overview
Pradeep GiriyapPA is a Internal Medicine Physician in the MANITOWOC area and has over 38 years of experience. Pradeep GiriyapPA primary office location is at 1900 WOODLAND DR and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 1986
Pradeep GiriyapPA is affiliated with six hospitals in the MANITOWOC area, including . The NPI number is 1891803862 and the information was updated approximately 16 years ago.
Pradeep GiriyapPA is affiliated with one medical group in the MANITOWOC area, FROEDTERT MANITOWOC MEDICAL GROUP, LLC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 31887 | WI |
| Board Certifications |
|---|
| Internal Medicine |
| Type/Issuer | Identifier | State |
|---|---|---|
| WPS | 16860979 | WI |
| CIGNA | F25392 | WI |
| TOUCHPOINT | 31887 | WI |
| WEA | 100003091 | WI |
| RAILROAD MEDICARE | 110176083 | WI |
| MEDICAID | 31802400 | WI |
| NETWORK HEALTH PLAN | 10112 | WI |
| CHAMPUS | 390806395002 | WI |
| Taxonomy | State | Primary? |
|---|---|---|
| Internal Medicine Physician - Taxonomy Code 207R00000X | WI | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20050706000597 |
| PECOS Individual PAC ID: | 6507802055 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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