Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mayanka Tickoo, MD, MS

Individual provider Pulmonary Disease Physician · NPI 1669736765

Dr. Mayanka Tickoo, MD, MS is a Pulmonary Disease in New Haven, Connecticut. Qualified in 2010, 16 years ago. Practices with Pratt Medical Group Inc, a 277-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut and Massachusetts.

Years since qualifying
16
Licensed in
CT, MA
In the registry since
2012
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

300 Cedar St Fl 4
New Haven, CT 06519
Phone: (203) 737-1240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 800 Washington St, Boston, MA 02111-1552 — (617) 636-6366

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 265375 (MA)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 60511 (CT)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 60511 (CT)

Record details

NPI number1669736765
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , MS
Sole proprietorNo
NPI enumeratedJuly 3, 2012
Last updated in NPPESMay 12, 2018
Mailing address20 York St, New Haven, CT 06510-3220

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Pratt Medical Group Inc — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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