Dr Karl Anton Soderlund, MD | |
620 John Paul Jones Cir Dept Of, Portsmouth, VA 23708-2111 | |
(757) 953-1128 | |
(757) 957-7723 |
Full Name | Dr Karl Anton Soderlund |
---|---|
Gender | Male |
Speciality | Radiology - Neuroradiology |
Location | 620 John Paul Jones Cir Dept Of, Portsmouth, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841426459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085N0700X | Radiology - Neuroradiology | A145800 (California) | Secondary |
2085N0700X | Radiology - Neuroradiology | 0101247991 (Virginia) | Primary |
Entity Name | University Of California Sfgh Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063487122 PECOS PAC ID: 5496668410 Enrollment ID: O20031106000503 |
Entity Name | Ucsf Medical Group Business Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513 |
Mailing Address | Practice Location Address |
---|---|
Dr Karl Anton Soderlund, MD 620 John Paul Jones Cir Dept Of, Portsmouth, VA 23708-2111 Ph: (757) 953-1128 | Dr Karl Anton Soderlund, MD 620 John Paul Jones Cir Dept Of, Portsmouth, VA 23708-2111 Ph: (757) 953-1128 |
Michael Edwin Fenton, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-5000 | |
Alexander F Kelley, DO Radiology Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-3029 | |
Dr. Glenn Andrew Rauscher, DO Radiology Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-0669 | |
Eric Palmer Jones, MD Radiology Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-7550 | |
Dr. Christopher Dac Nguyen, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-1143 | |
Dr. Andre Chartier, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-1128 | |
Cameron Richardson Kendall, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-0669 |