Dr Balaji Venkat, DO | |
15400 Los Gatos Blvd, Los Gatos, CA 95032-2502 | |
(408) 730-6200 | |
Not Available |
Full Name | Dr Balaji Venkat |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 15400 Los Gatos Blvd, Los Gatos, 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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1639319916 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 20A11767 (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 |
Entity Name | Sutter Bay Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
Mailing Address | Practice Location Address |
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Dr Balaji Venkat, DO 325 Distel Cir, Los Altos, CA 94022-1408 Ph: () - | Dr Balaji Venkat, DO 15400 Los Gatos Blvd, Los Gatos, CA 95032-2502 Ph: (408) 730-6200 |
Dr. Robert Gutshall Amburgey, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 815 Pollard Rd, Los Gatos, CA 95032 Phone: 408-378-6131 | |
Michael Benjamin Wolfe, M.D Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 815 Pollard Road, Los Gatos, CA 95032 Phone: 408-378-6131 | |
Rachel Kathleen Spoelhof, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15400 Los Gatos Blvd, Los Gatos, CA 95032 Phone: 408-730-6200 | |
Ivan Rodrigo Burgos, M.D Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 815 Pollard Rd, Los Gatos, CA 95032 Phone: 408-866-3863 | |
Edward Stanley Klofas, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 815 Pollard Road, Los Gatos, CA 95032 Phone: 408-378-6131 | |
Robert Kemp Carter, M.D Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 815 Pollard Road, Los Gatos, CA 95032 Phone: 408-378-6131 | |
Judith Louise Dethlefs, M.D Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 815 Pollard Road, Los Gatos, CA 95032 Phone: 408-378-6131 |