Avantika Rudraraju, | |
201 E Orangeburg Ave, Modesto, CA 95350-5355 | |
(209) 522-8881 | |
Not Available |
Full Name | Avantika Rudraraju |
---|---|
Gender | Female |
Speciality | Internal Medicine - Sleep Medicine |
Location | 201 E Orangeburg Ave, Modesto, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952742751 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 10581A (Wyoming) | Secondary |
207RS0012X | Internal Medicine - Sleep Medicine | A177500 (California) | Primary |
Entity Name | Pacific Sleep Disorders Center A California General Partnership |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073534103 PECOS PAC ID: 0446229579 Enrollment ID: O20040927000457 |
Entity Name | Kiritkumar B Patel Md Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750487021 PECOS PAC ID: 0840238333 Enrollment ID: O20050425000846 |
Mailing Address | Practice Location Address |
---|---|
Avantika Rudraraju, 201 E Orangeburg Ave, Modesto, CA 95350-5355 Ph: (209) 522-8881 | Avantika Rudraraju, 201 E Orangeburg Ave, Modesto, CA 95350-5355 Ph: (209) 522-8881 |
Brian E. Dolnick, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-557-1000 | |
Dr. Joshua Mckee Anderson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-735-7200 | |
Sulman Razzaq, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1409 E Briggsmore Ave, Modesto, CA 95355 Phone: 209-550-4750 | |
Alvin K Eng, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1540 Florida Ave, # 100, Modesto, CA 95350 Phone: 209-577-5557 Fax: 209-577-8125 | |
Esra Olgun, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-521-6097 | |
Ronak Chandrakant Shah, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-521-6097 | |
Dr. Paul Golden, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1330 Nelson Ave, Suite C, Modesto, CA 95350 Phone: 209-576-1547 Fax: 209-576-2736 |