Khosrow Vakhshouri, MD | |
2151 W Grant Line Rd, Tracy, CA 95377-7309 | |
(209) 832-0535 | |
Not Available |
Full Name | Khosrow Vakhshouri |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 24 Years |
Location | 2151 W Grant Line Rd, Tracy, 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 |
---|---|---|---|
1215993456 | NPI | - | NPPES |
00A871520 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A87152 (California) | Secondary |
207Q00000X | Family Medicine | A87152 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Medical Center | Modesto, CA | Hospital |
Sutter Tracy Community Hospital | Tracy, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sutter Valley Medical Foundation | 9830094515 | 1919 |
Entity Name | Sutter Valley Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
Mailing Address | Practice Location Address |
---|---|
Khosrow Vakhshouri, MD 600 Coffee Rd, Modesto, CA 95355-4201 Ph: (209) 524-1211 | Khosrow Vakhshouri, MD 2151 W Grant Line Rd, Tracy, CA 95377-7309 Ph: (209) 832-0535 |
Dr. Robert Marroquin Acosta, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1530 Bessie Ave, Tracy, CA 95376 Phone: 209-834-1443 | |
Dr. Shital C. Hubli, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1470 Bessie Ave, Tracy, CA 95376 Phone: 209-833-0525 Fax: 209-830-7361 | |
Dr. Stephen Robert Kruger, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 445 W Eaton Ave, Tracy, CA 95376 Phone: 209-830-4075 | |
Mahesh K Sehgal, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W Eaton Ave, Tracy, CA 95376 Phone: 209-832-8560 Fax: 209-832-3119 | |
Dr. Sumitra Ramireddy, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 730 N Central Ave, Tracy, CA 95376 Phone: 209-820-1500 | |
Pranjalkumar H Patel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1530 Bessie Ave, Suite 105, Tracy, CA 95376 Phone: 209-836-3967 Fax: 209-836-0626 | |
Dr. Ian Thomas Pulliam, D.O. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 644 W 12th St, Tracy, CA 95376 Phone: 209-832-8984 Fax: 209-832-8988 |