Dr Shermilla Shunmugham, MD | |
1617 N California St, Ste 2b, Stockton, CA 95204-6117 | |
(209) 948-4700 | |
(209) 948-9535 |
Full Name | Dr Shermilla Shunmugham |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 1617 N California St, Stockton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437158706 | NPI | - | NPPES |
GR0081080 | Medicaid | CA | |
00A807280 | Medicaid | CA | |
0-545-821-1 | Other | CA | ECFMG |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | A80728 (California) | 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 |
---|---|
Dr Shermilla Shunmugham, MD Po Box 1090, Lodi, CA 95241-1090 Ph: (209) 465-5550 | Dr Shermilla Shunmugham, MD 1617 N California St, Ste 2b, Stockton, CA 95204-6117 Ph: (209) 948-4700 |
Dr. Melba Agatep Berbano, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1801 E March Ln Ste C320, Stockton, CA 95210 Phone: 209-957-5888 Fax: 209-477-9339 | |
Dr. Charnpal S Mangat, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1617 N. California St., Ste. 2a, Stockton, CA 95204 Phone: 209-466-8546 Fax: 209-466-3335 | |
Dr. James Paul Ching Maganito, DO, MPH, MHA Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1617 N California St Ste 2a, Stockton, CA 95204 Phone: 209-334-1800 Fax: 209-334-2416 | |
La Toya Asha Luces, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 10940 Trinity Pkwy, Ste C #329, Stockton, CA 95219 Phone: 209-561-7936 Fax: 209-439-5413 | |
Jennifer Thuy Ho Phung, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2545 W Hammer Ln, Stockton, CA 95209 Phone: 209-957-7050 | |
Kristen Leigh Patters, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-746-5562 | |
Karen Y Poirier-brode, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 7373 West Ln, Obgyn A Suite 230 Second Floor, Stockton, CA 95210 Phone: 209-476-2080 |