Michael P Azevedo, MD | |
1805 E Fir Ave, Suite 102, Fresno, CA 93720-3859 | |
(559) 325-3070 | |
(559) 325-3073 |
Full Name | Michael P Azevedo |
---|---|
Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 1805 E Fir Ave, Fresno, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073583886 | NPI | - | NPPES |
00A663830 | Medicaid | CA | |
320024715 | Other | BLUE CROSS | |
00A663830 | Other | BLUE SHIELD | |
348538500 | Other | US DEPT OF LABOR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | A66383 (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 |
---|---|
Michael P Azevedo, MD 1805 E Fir Ave, Suite 102, Fresno, CA 93720-3859 Ph: (559) 325-3070 | Michael P Azevedo, MD 1805 E Fir Ave, Suite 102, Fresno, CA 93720-3859 Ph: (559) 325-3070 |
Mrs. Katrina Marie Slosman, PT, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4770 W Herndon Ave Ste 103, Fresno, CA 93722 Phone: 559-450-6340 | |
Dr. Jamil Ahmed, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 6700 N 1st St Ste 114, Fresno, CA 93710 Phone: 559-697-4655 Fax: 559-827-4869 | |
Dr. Paul Ky, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 6169 N Thesta St, Fresno, CA 93710 Phone: 559-435-1757 Fax: 559-435-1768 | |
John Kirby, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 445 S Cedar Ave, Fresno, CA 93702 Phone: 559-459-5719 Fax: 559-459-6900 | |
Dr. Jonathan David Grossman, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 45 E River Park Pl W, Suite 104, Fresno, CA 93720 Phone: 559-459-7300 Fax: 559-459-3750 | |
Dr. Mark Algara Sison, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1630 E Herndon Ave, Fresno, CA 93720 Phone: 559-256-5200 |