Deepa Ragesh Panikkath, MD | |
892 Aerovista Pl Ste 210, San Luis Obispo, CA 93401-8054 | |
(805) 549-8023 | |
(805) 549-8252 |
Full Name | Deepa Ragesh Panikkath |
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Gender | Female |
Speciality | Internal Medicine - Rheumatology |
Location | 892 Aerovista Pl Ste 210, San Luis Obispo, 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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1821436684 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RR0500X | Internal Medicine - Rheumatology | A161120 (California) | Primary |
Entity Name | Geisinger Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
Mailing Address | Practice Location Address |
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Deepa Ragesh Panikkath, MD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: (310) 301-8707 | Deepa Ragesh Panikkath, MD 892 Aerovista Pl Ste 210, San Luis Obispo, CA 93401-8054 Ph: (805) 549-8023 |
Rabab Hajar, M.D Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 35 Casa St Ste 130, San Luis Obispo, CA 93405 Phone: 805-541-1422 Fax: 805-595-1815 | |
Justin N Grammy, DO Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1428 Phillips Ln Ste 203, San Luis Obispo, CA 93401 Phone: 805-543-4407 Fax: 805-543-4587 | |
Pravir R Vatsa, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1023 Nipomo St # 110, San Luis Obispo, CA 93401 Phone: 805-439-2998 Fax: 805-439-2997 | |
Philippe Duhaime, M.D Rheumatology Medicare: Medicare Enrolled Practice Location: Sierra Vista Regional Medical Center, 1010 Murray Ave,, San Luis Obispo, CA 93405 Phone: 805-546-7000 | |
Dr. Grace Crittenden, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1250 Peach St Ste B, San Luis Obispo, CA 93401 Phone: 805-543-4043 | |
Christopher Vaughn Holland, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1551 Bishop St Ste 250, San Luis Obispo, CA 93401 Phone: 805-540-0689 Fax: 805-541-4376 | |
Dr. Deborah A. Cherry, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 4251 S Higuera St Ste 701, San Luis Obispo, CA 93401 Phone: 805-439-1381 Fax: 805-439-0138 |