Kenneth W Mak, MD | |
1541 Florida Ave, 301, Modesto, CA 95350-4429 | |
(209) 577-3388 | |
(209) 523-0764 |
Full Name | Kenneth W Mak |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 1541 Florida Ave, Modesto, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427007798 | NPI | - | NPPES |
00A555270 | Medicaid | CA | |
CD069A | Other | CA | GROUP MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | A55527 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Kenneth W Mak, MD 1541 Florida Ave, 200, Modesto, CA 95350-4429 Ph: (209) 577-3388 | Kenneth W Mak, MD 1541 Florida Ave, 301, Modesto, CA 95350-4429 Ph: (209) 577-3388 |
Douglas M Phan, M.D. Otolaryngology Medicare: May Accept Medicare Assignments Practice Location: 1541 Florida Ave Ste 304, Modesto, CA 95350 Phone: 209-577-3388 Fax: 209-521-3262 | |
Anwuli Alexandra Anyah, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-550-4770 | |
Mark J. Bitgood, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-557-1000 | |
Charles R Suntra, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211 | |
Christopher S. Whang, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-557-1000 | |
Charles Alan Yates, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1510 Florida Ave, Modesto, CA 95350 Phone: 209-549-7090 Fax: 209-549-7099 |