Dr Rishikesh S Chavan, MD | |
250 E Caroline St Ste E, San Bernardino, CA 92408-3758 | |
(909) 651-1910 | |
Not Available |
Full Name | Dr Rishikesh S Chavan |
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Gender | Male |
Speciality | Pediatrics - Pediatric Hematology-oncology |
Location | 250 E Caroline St Ste E, San Bernardino, 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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1700058526 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | C141227 (California) | Secondary |
2080P0207X | Pediatrics - Pediatric Hematology-oncology | C141227 (California) | Primary |
Entity Name | Faculty Physicians And Surgeons Of Llusm |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
Entity Name | Children's Hospital Of Orange County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275975104 PECOS PAC ID: 6406944883 Enrollment ID: O20181213000428 |
Mailing Address | Practice Location Address |
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Dr Rishikesh S Chavan, MD File Number 54701, Los Angeles, CA 90074-4701 Ph: () - | Dr Rishikesh S Chavan, MD 250 E Caroline St Ste E, San Bernardino, CA 92408-3758 Ph: (909) 651-1910 |
Dr. Kofi Adade-boafo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2150 N Waterman Ave, Ste 200, San Bernardino, CA 92404 Phone: 909-887-7951 Fax: 909-883-1634 | |
Dr. Sajad Jawad Khazal, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 250 E Caroline St Ste E, San Bernardino, CA 92408 Phone: 909-651-1910 | |
Dr. Irene Styadi Tsai, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 685 Carnegie Dr, Ste. #230, San Bernardino, CA 92408 Phone: 909-890-0407 | |
Swapna S. Kudtarkar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 401 E Highland Ave Ste 450a, San Bernardino, CA 92404 Phone: 909-864-4700 Fax: 909-883-0459 | |
Angie Bagheri Cook, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 565 N. Mount Vernon Ave, San Bernardino, CA 92411 Phone: 909-884-9091 | |
Mrs. Amal Shoukry Ibrahim, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 565 N. Mt. Vernon Ave, San Bernardino, CA 92411 Phone: 909-884-9091 Fax: 909-383-7013 | |
Ms. Lanny Nizar, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-881-4315 Fax: 909-881-4474 |