Denise M Brahan, MD | |
770 E Calaveras Blvd, Milpitas, CA 95035-5491 | |
(650) 945-2900 | |
Not Available |
Full Name | Denise M Brahan |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 770 E Calaveras Blvd, Milpitas, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275605008 | NPI | - | NPPES |
00A914860 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A91486 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Denise M Brahan, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Denise M Brahan, MD 770 E Calaveras Blvd, Milpitas, CA 95035-5491 Ph: (650) 945-2900 |
Quang D. Dao, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 770 E Calaveras Blvd, Milpitas, CA 95035 Phone: 650-945-2900 | |
Dr. Lucy H Huynh, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 589 Los Coches St, Milpitas, CA 95035 Phone: 408-851-2968 | |
Ellen Tu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 589 Los Coches St, Milpitas, CA 95035 Phone: 408-945-2900 | |
Alice Shechin Yen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 770 E Calaveras Blvd, Milpitas, CA 95035 Phone: 650-945-2900 | |
Mandira C. Matta, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 770 E Calaveras Blvd, Milpitas, CA 95035 Phone: 650-945-2900 | |
Elizabeth G. Vroman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 770 E Calaveras Blvd, Milpitas, CA 95035 Phone: 650-945-2900 |