Dr Gautam Prasad, MD | |
6380 Clark Ave, Dublin, CA 94568-3036 | |
(925) 875-1677 | |
(925) 875-0826 |
Full Name | Dr Gautam Prasad |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 18 Years |
Location | 6380 Clark Ave, Dublin, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275755621 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | A103317 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
John Muir Medical Center - Walnut Creek Campus | Walnut creek, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Epic Care | 5890053094 | 44 |
Entity Name | John Muir Trauma Physicians Billing Service |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093864837 PECOS PAC ID: 3476542515 Enrollment ID: O20050420001452 |
Entity Name | Epic Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780107797 PECOS PAC ID: 5890053094 Enrollment ID: O20171215002809 |
Mailing Address | Practice Location Address |
---|---|
Dr Gautam Prasad, MD 6380 Clark Ave, Dublin, CA 94568-3036 Ph: (925) 875-1677 | Dr Gautam Prasad, MD 6380 Clark Ave, Dublin, CA 94568-3036 Ph: (925) 875-1677 |
Anand Parthasarathy, MD, MPH Radiology Medicare: Medicare Enrolled Practice Location: 3100 Dublin Blvd, Dublin, CA 94568 Phone: 925-556-4200 | |
Dr. Indu Sitala Voruganti, MD, MS, FRCPC Radiology Medicare: Medicare Enrolled Practice Location: 3100 Dublin Blvd Fl 1, Dublin, CA 94568 Phone: 925-556-5800 | |
Amish Ajit Shah, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3100 Dublin Blvd Ste 120, Dublin, CA 94568 Phone: 925-556-5800 | |
Michael Richard Forrest, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 6380 Clark Ave, Dublin, CA 94568 Phone: 510-830-3100 Fax: 510-830-3316 | |
Minh-phuong Huynh-le, MD Radiology Medicare: Medicare Enrolled Practice Location: 3100 Dublin Blvd, Dublin, CA 94568 Phone: 925-556-5800 | |
Carl Craig Van Wey, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 6380 Clark Ave, Dublin, CA 94568 Phone: 925-875-1677 Fax: 925-875-0826 |