Harini Racherla, | |
2101 Stone Blvd, #6m, West Sacramento, CA 95691-4044 | |
(917) 704-7844 | |
Not Available |
Full Name | Harini Racherla |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 2101 Stone Blvd, West Sacramento, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861770737 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | #390200000X (New York) | Secondary |
208000000X | Pediatrics | A133840 (California) | Primary |
Entity Name | Ampla Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952333635 PECOS PAC ID: 5092619270 Enrollment ID: O20040225001116 |
Mailing Address | Practice Location Address |
---|---|
Harini Racherla, 18 Outer Banks Pl, #6m, Sacramento, CA 95835-2469 Ph: (917) 704-7844 | Harini Racherla, 2101 Stone Blvd, #6m, West Sacramento, CA 95691-4044 Ph: (917) 704-7844 |
Jessica Cheng, Pediatrics Medicare: Medicare Enrolled Practice Location: 1276 Halyard Dr, West Sacramento, CA 95691 Phone: 916-569-8484 | |
Muthumanimoli Sivakumaran, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1276 Halyard Dr, West Sacramento, CA 95691 Phone: 855-354-2242 | |
Yolanda Santana Tejeda, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2101 Stone Blvd Ste 100, West Sacramento, CA 95691 Phone: 916-371-3787 | |
Olga Kashlinskaya, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 804 Harbor Blvd, West Sacramento, CA 95691 Phone: 916-371-1616 Fax: 916-375-0706 | |
Colleen Callaghan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 155 15th St, Suite A, West Sacramento, CA 95691 Phone: 916-375-8990 |