Dr PAVANI ADUSUMILLI is a female medical professional, specializing in Family Medicine. She graduated in 2001.
FIVE STAR PHYSICIAN SERVICES LLC
9715 HEALTHWAY DR
BERLIN
MD
218113500
Tel: 4433233014
| Npi | 1568624955 |
| Pac Id | 1052575511 |
| Professional Enrollment Id | I20160203002030 |
| Last Name | ADUSUMILLI |
| First Name | PAVANI |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2001 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
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| Organization Legal Name | FIVE STAR PHYSICIAN SERVICES LLC |
| Group Practice Pac Id | 3779572862 |
| Number Of Group Practice Members | 19 |
| Line 1 Street Address | 9715 HEALTHWAY DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | BERLIN |
| State | MD |
| Zip Code | 218113500 |
| Phone Number | 4433233014 |
| Hospital Affiliation Ccn 1 | 210033 |
| Hospital Affiliation Lbn 1 | CARROLL HOSPITAL CENTER |
| Hospital Affiliation Ccn 2 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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