Mr Ravindu P Gunatilake, MD | |
5605 W Eugie Ave Ste 111, Glendale, AZ 85304-1273 | |
(480) 756-6000 | |
(855) 636-8770 |
Full Name | Mr Ravindu P Gunatilake |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 5605 W Eugie Ave Ste 111, Glendale, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659561553 | NPI | - | NPPES |
008871 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | 37439 (Arizona) | Secondary |
207V00000X | Obstetrics & Gynecology | 37439 (Arizona) | Primary |
Entity Name | Sjhmc Physician Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326098005 PECOS PAC ID: 4486646197 Enrollment ID: O20040401001189 |
Entity Name | Valley Perinatal Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174866743 PECOS PAC ID: 1658505011 Enrollment ID: O20131018000308 |
Mailing Address | Practice Location Address |
---|---|
Mr Ravindu P Gunatilake, MD 5605 W Eugie Ave Ste 111, Glendale, AZ 85304-1273 Ph: (480) 756-0000 | Mr Ravindu P Gunatilake, MD 5605 W Eugie Ave Ste 111, Glendale, AZ 85304-1273 Ph: (480) 756-6000 |
Dr. Elizabeth V Mahour-moyer, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6678 W Thunderbird Rd, Glendale, AZ 85306 Phone: 602-978-1500 Fax: 602-978-0409 | |
Mrs. Amy Blanshard Boots, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6678 W Thunderbird Rd, Glendale, AZ 85306 Phone: 602-678-1500 Fax: 602-978-0409 | |
Emily Caroline Fanning, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 6678 W Thunderbird Rd, Glendale, AZ 85306 Phone: 026-978-1500 Fax: 602-978-0409 | |
Bradley John Folkestad, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 18699 N 67th Ave, Ste 320, Glendale, AZ 85308 Phone: 623-561-7250 Fax: 623-561-0098 | |
Dr. Kelly Ann Goad, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6678 W Thunderbird Rd, Glendale, AZ 85306 Phone: 602-978-1500 Fax: 602-978-0409 | |
Ole Borch-christensen, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 5601 W Eugie Ave, Ste 100, Glendale, AZ 85304 Phone: 602-978-1500 Fax: 602-978-0409 | |
Hillary H. Charles, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5757 W. Thunderbird Road, Suite W-202, Glendale, AZ 85306 Phone: 602-678-1111 Fax: 602-678-7090 |