Dr Hanumantharao Damerla, MD, | |
1900 Sycamore Canyon Rd, San Dimas, CA 91773-1220 | |
(626) 975-2968 | |
(213) 639-1361 |
Full Name | Dr Hanumantharao Damerla |
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Gender | Male |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 1900 Sycamore Canyon Rd, San Dimas, 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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1225119464 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | A69165 (California) | Primary |
Entity Name | County Of San Bernardino |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164467023 PECOS PAC ID: 3870499130 Enrollment ID: O20031209000420 |
Mailing Address | Practice Location Address |
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Dr Hanumantharao Damerla, MD, 550 S Vermont Ave, Los Angeles, CA 90020-1912 Ph: (213) 738-2902 | Dr Hanumantharao Damerla, MD, 1900 Sycamore Canyon Rd, San Dimas, CA 91773-1220 Ph: (626) 975-2968 |
Dr. Divya Krishnamoorthy, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 762 Cypress St, San Dimas, CA 91773 Phone: 909-599-1227 Fax: 206-299-9789 | |
Habib Ali Ismail, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1330 W Covina Blvd, Ste 103, San Dimas, CA 91773 Phone: 909-592-2145 Fax: 909-599-6217 | |
Mohsen Ibrahim Ali, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1330 W Covina Blvd, Suite 103, San Dimas, CA 91773 Phone: 909-592-2145 Fax: 909-599-6217 | |
Joshua Kritsada Koh, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1173 N Dixie Dr, Suite 101, San Dimas, CA 91773 Phone: 909-599-4422 Fax: 909-599-5577 |