Elaine E Davenport, MD | |
1321 Mcgee Ave, Berkeley, CA 94703-1005 | |
(510) 558-0510 | |
Not Available |
Full Name | Elaine E Davenport |
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Gender | Female |
Speciality | Pediatrics |
Location | 1321 Mcgee Ave, Berkeley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558382242 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | G77450 (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 |
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Elaine E Davenport, MD 1321 Mcgee Ave, Berkeley, CA 94703-1005 Ph: (510) 558-0510 | Elaine E Davenport, MD 1321 Mcgee Ave, Berkeley, CA 94703-1005 Ph: (510) 558-0510 |
Dr. Miriam Dearborn Budinger, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 966 Euclid Ave, Berkeley, CA 94708 Phone: 510-527-5623 | |
Dr. Jaleh Niazi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 900 Colusa Ave Ste 204, Berkeley, CA 94707 Phone: 510-465-4445 | |
Lisa S Kalar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1650 Walnut St, Berkeley, CA 94709 Phone: 510-848-2566 | |
Jennifer A Miller, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2999 Regent St Ste 325, Berkeley, CA 94705 Phone: 925-438-1110 Fax: 510-841-5650 | |
Gilbert Duritz, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 36 El Camino Real, Berkeley, CA 94705 Phone: 510-848-4581 | |
Olivia Lang, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1650 Walnut St, Berkeley, CA 94709 Phone: 510-848-2566 | |
Petra Froehlich Landman, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2500 Milvia St, Berkeley, CA 94704 Phone: 510-204-5600 Fax: 510-204-5462 |