Daniela Tank, DO | |
1101 S. Winchester Blvd.,, N-267, San Jose, CA 95128 | |
(763) 245-3002 | |
Not Available |
Full Name | Daniela Tank |
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Gender | Female |
Speciality | Family Medicine |
Location | 1101 S. Winchester Blvd.,, San Jose, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841277837 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 45879 (Minnesota) | Secondary |
207Q00000X | Family Medicine | 20A 9102 (California) | Primary |
Entity Name | Life Medical Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740222496 PECOS PAC ID: 6204938350 Enrollment ID: O20070221000166 |
Entity Name | Minnesota Medical And Rehabilitative Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154302545 PECOS PAC ID: 6406764703 Enrollment ID: O20100728001200 |
Mailing Address | Practice Location Address |
---|---|
Daniela Tank, DO 5268 Amelia Dr, San Jose, CA 95118 Ph: (763) 245-3002 | Daniela Tank, DO 1101 S. Winchester Blvd.,, N-267, San Jose, CA 95128 Ph: (763) 245-3002 |
Melissa Ann De Leon, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Oak St Rm F-3, San Jose, CA 95110 Phone: 408-295-0950 | |
Manjula Kamaraju, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2460 Samaritan Dr, San Jose, CA 95124 Phone: 408-358-1911 Fax: 408-358-3430 | |
Dr. Edward Man-yau Cheng, M.D. PHD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1060 Saratoga Ave, San Jose, CA 95129 Phone: 408-243-6911 Fax: 408-243-6941 | |
Dr. Daniel J Reyes-villa, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 841 Blossom Hill Rd Ste 215, San Jose, CA 95123 Phone: 408-629-7095 Fax: 408-818-2352 | |
Shamsher Singh, Family Medicine Medicare: Medicare Enrolled Practice Location: 250 Hospital Pkwy, San Jose, CA 95119 Phone: 408-972-3000 | |
Dr. Tung Thanh Nguyen, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 621 Tully Rd, Suite 105, San Jose, CA 95111 Phone: 408-279-2988 Fax: 408-279-2981 | |
Dr. Galiba Gaity Rahman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Jose Figueres Ave, Ste 260, San Jose, CA 95116 Phone: 408-258-8050 Fax: 408-258-2269 |