Basava Kunamnemi, MD | |
2800 N California St, Stockton, CA 95204 | |
(209) 464-7681 | |
(209) 464-1647 |
Full Name | Basava Kunamnemi |
---|---|
Gender | Male |
Speciality | Internal Medicine - Interventional Cardiology |
Location | 2800 N California St, Stockton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376558239 | NPI | - | NPPES |
P00473872 | Other | CA | RAILROAD MEDICARE |
00C51232D | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 00C51232D (California) | Secondary |
207RI0011X | Internal Medicine - Interventional Cardiology | 00C512320 (California) | Primary |
Entity Name | San Joaquin Faculty Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225063761 PECOS PAC ID: 4082631395 Enrollment ID: O20051026000742 |
Mailing Address | Practice Location Address |
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Basava Kunamnemi, MD 2800 N California Street, Suite 14, Stockton, CA 95204 Ph: (209) 942-1005 | Basava Kunamnemi, MD 2800 N California St, Stockton, CA 95204 Ph: (209) 464-7681 |
Jasmine Hundal, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7210 Murray Dr, Stockton, CA 95210 Phone: 209-751-1919 | |
Abhinandan Anand Raman, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1805 N California St Ste 201, Stockton, CA 95204 Phone: 209-645-3771 | |
Dr. Navneet Kaur, M.B.B.S Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1805 N California St Ste 201, Stockton, CA 95204 Phone: 209-645-4005 Fax: 209-645-6344 | |
David C Lim, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 E Harding Way, Suite D, Stockton, CA 95204 Phone: 209-944-5750 | |
Xing-jian Lu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000 | |
Kwabena Opoku-mensah Adubofour, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2524 E Main St, Stockton, CA 95205 Phone: 800-249-9497 Fax: 800-249-9497 | |
Dr. Ronald A Kass, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 E March Ln Ste C310, Stockton, CA 95210 Phone: 209-465-5731 Fax: 209-465-0230 |