Dr Alexander Quidayan Ereso, MD | |
525 South Dr, Suite 203, Mountain View, CA 94040-4213 | |
(650) 964-6600 | |
(650) 964-7639 |
Full Name | Dr Alexander Quidayan Ereso |
---|---|
Gender | Male |
Speciality | Surgery - Plastic And Reconstructive Surgery |
Location | 525 South Dr, Mountain View, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144480492 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | A91510 (California) | Secondary |
2086S0122X | Surgery - Plastic And Reconstructive Surgery | A91510 (California) | Primary |
Entity Name | Alexander Q Ereso Md Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720562648 PECOS PAC ID: 2163758053 Enrollment ID: O20190730004720 |
Mailing Address | Practice Location Address |
---|---|
Dr Alexander Quidayan Ereso, MD 525 South Dr, Suite 203, Mountain View, CA 94040-4213 Ph: (650) 964-6600 | Dr Alexander Quidayan Ereso, MD 525 South Dr, Suite 203, Mountain View, CA 94040-4213 Ph: (650) 964-6600 |
Arhana Chattopadhyay, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2350 Toledo Ter, Mountain View, CA 94043 Phone: 508-431-7943 | |
Dr. Raymond Michael Shaheen I, M.D., F.A.C.S. Surgery Medicare: Accepting Medicare Assignments Practice Location: 305 South Dr, Suite 7, Mountain View, CA 94040 Phone: 650-965-1909 Fax: 650-965-1944 | |
Dr. Maciej J Kieturakis, Surgery Medicare: Accepting Medicare Assignments Practice Location: 305 South Dr, #7, Mountain View, CA 94040 Phone: 650-938-6600 Fax: 650-938-6601 | |
Dr. Rosa Lisa Dell'oca, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 525 South Drive, Suite 215, Mountain View, CA 94040 Phone: 650-468-0840 | |
Dr. Danagra Georgia Ikossi, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-934-7000 | |
Richard Slavin, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2350 W El Camino Real, 6th Floor, Mountain View, CA 94040 Phone: 650-934-7221 |