Dr Sourav Ray, MD | |
1783 El Camino Real, Mills Peninsula Pathology Dept, Burlingame, CA 94010-3205 | |
(650) 696-5611 | |
Not Available |
Full Name | Dr Sourav Ray |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 22 Years |
Location | 1783 El Camino Real, Burlingame, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669698163 | NPI | - | NPPES |
C52780 | Other | CA | CA MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | C52780 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Peninsula Medical Center | Burlingame, CA | Hospital |
San Mateo Medical Center | San mateo, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Peninsula Pathologists Medical Group Inc | 2961485925 | 9 |
County Of San Mateo | 9032023171 | 262 |
Entity Name | Sutter Bay Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
Entity Name | County Of San Mateo |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679642326 PECOS PAC ID: 9032023171 Enrollment ID: O20031126000292 |
Entity Name | Peninsula Pathologists Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285699793 PECOS PAC ID: 2961485925 Enrollment ID: O20040610000795 |
Mailing Address | Practice Location Address |
---|---|
Dr Sourav Ray, MD 383 E Grand Ave, Suite A, South San Francisco, CA 94080-6234 Ph: (650) 616-2951 | Dr Sourav Ray, MD 1783 El Camino Real, Mills Peninsula Pathology Dept, Burlingame, CA 94010-3205 Ph: (650) 696-5611 |
Dr. Judy A Alonzo, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1783 El Camino Real, Pathology Dept, Burlingame, CA 94010 Phone: 650-696-5611 | |
Dr. Keith L Duncan, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1783 El Camino Real, Pathology Dept, Burlingame, CA 94010 Phone: 650-696-5611 | |
Dr. John D Carney, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1783 El Camino Real, Pathology Dept, Burlingame, CA 94010 Phone: 650-616-2950 | |
Dr. Michael Joseph Cascio, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 1501 Trousdale Dr, Burlingame, CA 94010 Phone: 650-696-5511 | |
Dr. Scott A Taga, Md, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1783 El Camino Real, Mills-peninsula Pathology Dept, Burlingame, CA 94010 Phone: 650-853-4739 | |
Dr. Martha S Hales, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1783 El Camino Real, Hospital Pathology Dept, Burlingame, CA 94010 Phone: 650-696-5611 |