Keith Ulric Smith, DO | |
10800 Magnolia Ave, Riverside, CA 92505-3043 | |
(909) 353-2000 | |
Not Available |
Full Name | Keith Ulric Smith |
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Gender | Male |
Speciality | Anesthesiology |
Location | 10800 Magnolia Ave, Riverside, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871664854 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 20A6994 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
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Keith Ulric Smith, DO 10800 Magnolia Ave, Riverside, CA 92505-3043 Ph: (909) 353-2000 | Keith Ulric Smith, DO 10800 Magnolia Ave, Riverside, CA 92505-3043 Ph: (909) 353-2000 |
Peter H. Cheng, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 | |
Parul Indravadan Patel, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6969 Brockton Ave, Suite B, Riverside, CA 92506 Phone: 951-686-3579 | |
Anthony W. Ma, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 | |
Dr. Ramin Akhavan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4324 Riverwalk Parkway, Suite 230, Pacific Pulmonary Medical Group, Riverside, CA 92505 Phone: 951-781-3672 Fax: 951-781-3605 | |
Michael James Buchan, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 6969 Brockton Ave, Suite B, Riverside, CA 92506 Phone: 951-686-3575 Fax: 951-781-2194 | |
Timothy Lowe, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 | |
Dr. Nitin Dhamija, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 951-353-3690 |