Barry Patrick Conrad, | |
725 Welch Rd, Palo Alto, CA 94304-1601 | |
(650) 721-1811 | |
Not Available |
Full Name | Barry Patrick Conrad |
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Gender | Male |
Speciality | Dietitian, Registered |
Location | 725 Welch Rd, Palo Alto, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1013683267 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133VN1004X | Dietitian, Registered - Nutrition, Pediatric | (* (Not Available)) | Secondary |
133V00000X | Dietitian, Registered | 876319 (California) | Primary |
Provider Name | Lpch Medical Group Div Of Lucile |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232 |
Mailing Address | Practice Location Address |
---|---|
Barry Patrick Conrad, 725 Welch Rd, Palo Alto, CA 94304-1601 Ph: (650) 498-7353 | Barry Patrick Conrad, 725 Welch Rd, Palo Alto, CA 94304-1601 Ph: (650) 721-1811 |
Jodi M Wright, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000 | |
Crystal Tsai, MS, RD Dietitian Medicare: Medicare Enrolled Practice Location: 795 El Camino Real, Palo Alto, CA 94301 Phone: 650-853-2961 | |
Farah Mardini, RD Dietitian Medicare: Medicare Enrolled Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-7415 | |
Ms. Roshan Luke, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3801 Miranda Ave # 120b, Palo Alto, CA 94304 Phone: 650-493-5000 | |
Lisa Marie Schultz, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8599 | |
Annette Chmielewski, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 730 Welch Rd Fl 1, Palo Alto, CA 94304 Phone: 650-721-1811 Fax: 650-725-8375 |