Dr Urmila A Shende, MD | |
255 Farmers Ln, Santa Rosa, CA 95405-4721 | |
(707) 545-2255 | |
(707) 545-0456 |
Full Name | Dr Urmila A Shende |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 255 Farmers Ln, Santa Rosa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225141245 | NPI | - | NPPES |
00A603910 | Medicaid | CA | |
GR0061383 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A60391 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Entity Name | Petaluma Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588656268 PECOS PAC ID: 9133180375 Enrollment ID: O20050315000415 |
Mailing Address | Practice Location Address |
---|---|
Dr Urmila A Shende, MD 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 Ph: (707) 559-7500 | Dr Urmila A Shende, MD 255 Farmers Ln, Santa Rosa, CA 95405-4721 Ph: (707) 545-2255 |
Krisztina J. Balazs, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 | |
Daniel J Greenfield, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Doyle Park Dr Ste 100, Santa Rosa, CA 95405 Phone: 707-544-6090 Fax: 707-544-2389 | |
Mark P. Sloan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 | |
Dr. Jeff Miller, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3925 Old Redwood Hwy, Santa Rosa, CA 95403 Phone: 707-566-5312 | |
Dr. Allison Cali Paine, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Doyle Park Dr, Suite 100, Santa Rosa, CA 95405 Phone: 650-248-9309 | |
Dr. Deborah Madansky, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 858 Third Street, Santa Rosa, CA 95404 Phone: 707-576-1813 Fax: 707-874-3332 | |
Leland Davis, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Sonoma Ave, Suite 6, Santa Rosa, CA 95405 Phone: 707-545-2545 |