Dr Diana Mohana Prasad, MD | |
250 E Hacienda Ave Fl 1, Campbell, CA 95008-6617 | |
(408) 871-9440 | |
Not Available |
Full Name | Dr Diana Mohana Prasad |
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Gender | Female |
Speciality | Pediatrics |
Location | 250 E Hacienda Ave Fl 1, Campbell, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821224759 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A122826 (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 | Lpch Medical Group Div Of Lucile |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232 |
Mailing Address | Practice Location Address |
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Dr Diana Mohana Prasad, MD 1839 Schooldale Dr, San Jose, CA 95124-1137 Ph: (408) 712-3872 | Dr Diana Mohana Prasad, MD 250 E Hacienda Ave Fl 1, Campbell, CA 95008-6617 Ph: (408) 871-9440 |
Carol-lynn Barsky, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 220 E Hacienda Ave, Campbell, CA 95008 Phone: 408-236-6400 | |
Joseph Vincent Dicarlo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3777 S Bascom Ave, Campbell, CA 95008 Phone: 408-558-3640 Fax: 408-558-3674 | |
Keith A. Fabisiak, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 220 E Hacienda Ave, Campbell, CA 95008 Phone: 408-236-6400 | |
Dr. Lynna Hwang Wang, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 220 E Hacienda Ave, Campbell, CA 95008 Phone: 408-871-6216 Fax: 408-871-6202 |