Dr Amanda Michele Chan, DO | |
820 Wooded Hills Ct, Fremont, CA 94539-7246 | |
(510) 421-0338 | |
Not Available |
Full Name | Dr Amanda Michele Chan |
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Gender | Female |
Speciality | Anesthesiology |
Location | 820 Wooded Hills Ct, Fremont, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669746939 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 20A14507 (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 |
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Dr Amanda Michele Chan, DO 820 Wooded Hills Ct, Fremont, CA 94539-7246 Ph: (510) 421-0338 | Dr Amanda Michele Chan, DO 820 Wooded Hills Ct, Fremont, CA 94539-7246 Ph: (510) 421-0338 |
Shurea A. Wilson, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-795-3000 | |
Joan June Chen, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2000 Mowry Ave, Fremont, CA 94538 Phone: 510-797-1111 | |
Surinder Sandhu, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2299 Mowry Ave, Fremont, CA 94538 Phone: 510-791-5374 | |
Dr. Abhilasha Solanki, M.D Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-248-3000 | |
Brian E Smith, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2000 Mowry Ave, Fremont, CA 94538 Phone: 510-797-1111 | |
Stephen R Shuput, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 43314 Banda Ter, Fremont, CA 94539 Phone: 800-991-6704 Fax: 408-444-8845 | |
Ann Marie Mallat, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3200 Kearney St., Fremont, CA 94538 Phone: 510-490-1222 |