Dr Divya Gangwar, MD | |
637 Merced St, Newman, CA 95360-1070 | |
(209) 862-0270 | |
(209) 862-0274 |
Full Name | Dr Divya Gangwar |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 637 Merced St, Newman, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578795464 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MT 194824 (Pennsylvania) | Secondary |
207Q00000X | Family Medicine | A123793 (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 |
---|---|
Dr Divya Gangwar, MD 737 W Childs Ave, Merced, CA 95341-6805 Ph: (209) 384-6493 | Dr Divya Gangwar, MD 637 Merced St, Newman, CA 95360-1070 Ph: (209) 862-0270 |
Hanika Gupta, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 637 Merced St, Newman, CA 95360 Phone: 209-862-0270 Fax: 209-862-0274 | |
Dr. Philip Byron Kalman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1349 Main St, Newman, CA 95360 Phone: 209-862-3604 Fax: 209-862-3904 | |
Alessandra D'avanzo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 637 Merced St, Newman, CA 95360 Phone: 209-862-0270 Fax: 209-862-0274 |