Dr Mamta Thukral, MD | |
Santa Teresa Medical Center, 250 Hospital Parkway, San Jose, CA 95119 | |
(408) 972-6164 | |
Not Available |
Full Name | Dr Mamta Thukral |
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Gender | Female |
Speciality | Anesthesiology |
Location | Santa Teresa Medical Center, San Jose, 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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1023079118 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207L00000X | Anesthesiology | 220401 (Massachusetts) | 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 |
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Dr Mamta Thukral, MD 3212 Whitesand Dr, San Jose, CA 95148-3807 Ph: () - | Dr Mamta Thukral, MD Santa Teresa Medical Center, 250 Hospital Parkway, San Jose, CA 95119 Ph: (408) 972-6164 |
Michael Thomas Paige, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2425 Samaritan Dr, San Jose, CA 95124 Phone: 408-558-2100 | |
Audrey Lee Adams, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2425 Samaritan Dr, San Jose, CA 95124 Phone: 408-558-2100 | |
Cherine Ayesh Abu-eid, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 751 S Bascom Ave, Anesthesiology Department, San Jose, CA 95128 Phone: 408-885-5000 | |
Dr. Francis Dominic Wong, D.O Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 250 Hospital Pkwy, San Jose, CA 95119 Phone: 408-972-3000 | |
Dr. Audrey Lee, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2425 Samaritan Dr, San Jose, CA 95124 Phone: 408-559-2011 | |
Peter Tzee Tseng Sun, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 225 N Jackson Ave, San Jose, CA 95116 Phone: 408-259-5000 Fax: 408-928-7041 |