Dr Malavalli Seetharam, MD | |
1524 Mchenry Ave, Suite 570, Modesto, CA 95350-4500 | |
(209) 572-3880 | |
(209) 572-3349 |
Full Name | Dr Malavalli Seetharam |
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Gender | Male |
Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
Location | 1524 Mchenry Ave, Modesto, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336279801 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | 199169 (New York) | Primary |
Entity Name | Valley Childrens Specialty Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013968296 PECOS PAC ID: 9638072614 Enrollment ID: O20040128000542 |
Entity Name | Valley Childrens Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437555265 PECOS PAC ID: 9032439336 Enrollment ID: O20150528001593 |
Mailing Address | Practice Location Address |
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Dr Malavalli Seetharam, MD 1524 Mchenry Ave, Suite 570, Modesto, CA 95350-4500 Ph: (209) 572-3880 | Dr Malavalli Seetharam, MD 1524 Mchenry Ave, Suite 570, Modesto, CA 95350-4500 Ph: (209) 572-3880 |
Jonathan Kistler, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1001 Needham St, Modesto, CA 95354 Phone: 209-569-0373 Fax: 209-529-8519 | |
Tonya F. Fuller, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-550-4785 | |
Kairav Rameshchandra Shah, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1524 Mchenry Ave Ste 445, Modesto, CA 95350 Phone: 209-571-1693 | |
Dr. Jaaneali Mehdi, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1501 Claus Rd Ste F, Modesto, CA 95355 Phone: 095-576-3102 | |
Vinita Wadhwani, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1400 Celeste Drive, Crestwood Mannor, Modesto, CA 95355 Phone: 916-422-5856 Fax: 916-422-2307 | |
Nusrat Malik, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1501 Claus Rd, Dbhc, Modesto, CA 95355 Phone: 209-557-6300 | |
Antoun C. Manganas, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1501 Claus Rd, Modesto, CA 95355 Phone: 209-524-9401 |