Dr Paul Mishyn, DO | |
1380 Lead Hill Blvd Ste 100, Roseville, CA 95661-2941 | |
(916) 535-2030 | |
(916) 536-3061 |
Full Name | Dr Paul Mishyn |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 1380 Lead Hill Blvd Ste 100, Roseville, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295239143 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 20A22328 (California) | Primary |
Entity Name | Yale University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
Entity Name | Yale University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093862740 PECOS PAC ID: 9436061736 Enrollment ID: O20031124000690 |
Mailing Address | Practice Location Address |
---|---|
Dr Paul Mishyn, DO 3400 Data Dr, Rancho Cordova, CA 95670-7956 Ph: () - | Dr Paul Mishyn, DO 1380 Lead Hill Blvd Ste 100, Roseville, CA 95661-2941 Ph: (916) 535-2030 |
Regan Asher, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1640 E Roseville Pkwy, Ste 100, Roseville, CA 95661 Phone: 916-784-2277 Fax: 916-932-1104 | |
Dr. Nima Kevin Harandi, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 504 Gibson Dr, Roseville, CA 95678 Phone: 916-771-2871 | |
Dr. Robert Earl Burky Iii, MD Radiology Medicare: Medicare Enrolled Practice Location: 1380 Lead Hill Blvd Ste 100, Roseville, CA 95661 Phone: 916-535-2030 Fax: 916-536-3061 | |
Richard Childrey Gross, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1640 E Roseville Pkwy, Roseville, CA 95661 Phone: 916-784-2277 Fax: 916-932-1104 | |
Allan Chen, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 504 Gibson Dr, Roseville, CA 95678 Phone: 916-771-2871 Fax: 916-771-2841 | |
Dr. Charlotte Dai Kubicky, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2 Medical Plaza Dr Ste 180, Roseville, CA 95661 Phone: 916-781-1225 | |
John P Farkas, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1640 E Roseville Pkwy, Ste 100, Roseville, CA 95661 Phone: 916-784-2277 Fax: 916-932-1104 |