Ethan H Daniels, MD | |
710 Lawrence Expy, Santa Clara, CA 95051-5173 | |
(408) 851-1000 | |
Not Available |
Full Name | Ethan H Daniels |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 44 Years |
Location | 710 Lawrence Expy, Santa Clara, 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 |
---|---|---|---|
1699852558 | NPI | - | NPPES |
00G568750 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0011X | Internal Medicine - Interventional Cardiology | G56875 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Good Samaritan Hospital | San jose, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mohammed S Qayyum Md Inc | 3476862780 | 3 |
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 | Mohammed S Qayyum Md Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649647736 PECOS PAC ID: 3476862780 Enrollment ID: O20151027000987 |
Mailing Address | Practice Location Address |
---|---|
Ethan H Daniels, MD 2550 Samaritan Dr Ste D, San Jose, CA 95124-4104 Ph: (408) 610-2001 | Ethan H Daniels, MD 710 Lawrence Expy, Santa Clara, CA 95051-5173 Ph: (408) 851-1000 |
Uma Devi Kantamuneni, M.D Internal Medicine Medicare: Medicare Enrolled Practice Location: 3655 Pruneridge Ave Apt 224, Santa Clara, CA 95051 Phone: 408-564-7469 | |
Hui Wu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-605-7333 | |
Mr. Krisna P Chai, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000 | |
Alan H. Man, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000 | |
Melody Chung, Internal Medicine Medicare: Medicare Enrolled Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-3830 | |
Inna Strugatsky, Internal Medicine Medicare: Medicare Enrolled Practice Location: 2734 El Camino Real, Santa Clara, CA 95051 Phone: 408-739-6000 | |
Asma Habib, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2734 El Camino Real, Santa Clara, CA 95051 Phone: 408-241-3801 |