Dwain L Coggins, MD | |
2400 Samaritan Dr, Suite 100, San Jose, CA 95124-3910 | |
(408) 879-5900 | |
(408) 490-1636 |
Full Name | Dwain L Coggins |
---|---|
Gender | Male |
Speciality | Internal Medicine - Clinical Cardiac Electrophysiology |
Location | 2400 Samaritan Dr, San Jose, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598721318 | NPI | - | NPPES |
26-3374042 | Other | CA | TAX ID |
G58266 | Other | CA | CA MED LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0001X | Internal Medicine - Clinical Cardiac Electrophysiology | G58266 (California) | Primary |
Entity Name | Advanced Cardiovascular Specialists Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164472270 PECOS PAC ID: 8921034810 Enrollment ID: O20050712000852 |
Entity Name | Physician Services At El Camino Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669575585 PECOS PAC ID: 5698825016 Enrollment ID: O20090605000358 |
Mailing Address | Practice Location Address |
---|---|
Dwain L Coggins, MD 2490 Hospital Dr, Ste 311, Mountain View, CA 94040-4126 Ph: (408) 879-5900 | Dwain L Coggins, MD 2400 Samaritan Dr, Suite 100, San Jose, CA 95124-3910 Ph: (408) 879-5900 |
Dr. Arunasri Kelleti, M.D., Internal Medicine Medicare: Medicare Enrolled Practice Location: 1333 Meridian Ave, San Jose, CA 95125 Phone: 408-445-3400 | |
Assefa Worku, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Hospital Pkwy, 260 International Circle, San Jose, CA 95119 Phone: 408-972-7000 Fax: 408-363-4906 | |
Dr. John J Redinski, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 225 N Jackson Ave, San Jose, CA 95116 Phone: 408-347-4051 | |
Jenny Liu, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 751 S. Bascom Ave., San Jose, CA 95128 Phone: 408-885-5000 | |
Dr. Komal J Bhatt, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 225 N Jackson Ave, San Jose, CA 95116 Phone: 408-259-5000 | |
Dr. Alexander D Doan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 N Bascom Ave, #103, San Jose, CA 95128 Phone: 408-998-2890 Fax: 408-998-2897 | |
Eamonn Patrick Dunphy, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 751 S Bascom Ave, Radiation Oncology, San Jose, CA 95128 Phone: 408-885-4150 |