Miss Somia Mohanty, MD | |
2500 Merced St, San Leandro, CA 94577-4201 | |
(510) 362-6303 | |
Not Available |
Full Name | Miss Somia Mohanty |
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Gender | Female |
Speciality | Family Medicine - Adult Medicine |
Location | 2500 Merced St, San Leandro, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1053974907 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | A176873 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Miss Somia Mohanty, MD 2500 Merced St, San Leandro, CA 94577-4201 Ph: (510) 362-6303 | Miss Somia Mohanty, MD 2500 Merced St, San Leandro, CA 94577-4201 Ph: (510) 362-6303 |
Bruce A Robertson, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 13851 E 14th St, Suite 102, San Leandro, CA 94578 Phone: 510-351-2100 Fax: 510-357-3389 | |
Dr. Douglas D Zhang, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13851 E 14th St, San Leandro, CA 94578 Phone: 510-351-2100 Fax: 510-357-3389 | |
Dr. Jane Helen Wardzinska, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13847 E 14th St, Suite 110, San Leandro, CA 94578 Phone: 510-895-8700 Fax: 510-895-8725 | |
Willis L Gelston, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 13851 E 14th St, Suite 102, San Leandro, CA 94578 Phone: 510-351-2100 Fax: 510-357-3389 | |
Dr. Herbert B Weingard, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 13851 E 14th St, Suite 200, San Leandro, CA 94578 Phone: 510-351-2100 Fax: 510-357-3389 | |
Anatoly Brodsky, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, Internal Medicine Department, San Leandro, CA 94577 Phone: 510-454-4010 |