Mark R Lillo, MD | |
710 Lawrence Expy, Santa Clara, CA 95051-5173 | |
(408) 851-1000 | |
Not Available |
Full Name | Mark R Lillo |
---|---|
Gender | Male |
Speciality | Internal Medicine - Infectious Disease |
Location | 710 Lawrence Expy, Santa Clara, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497831325 | NPI | - | NPPES |
00A411750 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | A41175 (California) | Primary |
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 |
Mailing Address | Practice Location Address |
---|---|
Mark R Lillo, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3429 Ph: (510) 625-6262 | Mark R Lillo, MD 710 Lawrence Expy, Santa Clara, CA 95051-5173 Ph: (408) 851-1000 |
Uma Devi Kantamuneni, M.D Infectious Disease Medicare: Medicare Enrolled Practice Location: 3655 Pruneridge Ave Apt 224, Santa Clara, CA 95051 Phone: 408-564-7469 | |
Hui Wu, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-605-7333 | |
Mr. Krisna P Chai, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000 | |
Alan H. Man, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000 | |
Melody Chung, Infectious Disease Medicare: Medicare Enrolled Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-3830 | |
Inna Strugatsky, Infectious Disease Medicare: Medicare Enrolled Practice Location: 2734 El Camino Real, Santa Clara, CA 95051 Phone: 408-739-6000 | |
Asma Habib, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2734 El Camino Real, Santa Clara, CA 95051 Phone: 408-241-3801 |