Mr Ganesan Venkatapathy, MD | |
1140 Main St, Livingston, CA 95334-1257 | |
(209) 394-1362 | |
(209) 394-1369 |
Full Name | Mr Ganesan Venkatapathy |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1140 Main St, Livingston, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700989811 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | C50567 (California) | Primary |
Entity Name | Ole Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700976503 PECOS PAC ID: 7315934767 Enrollment ID: O20040427001735 |
Mailing Address | Practice Location Address |
---|---|
Mr Ganesan Venkatapathy, MD 1140 Main St, Beach Area Family Health Center(fhcsd), Livingston, CA 95334-1257 Ph: (209) 394-1362 | Mr Ganesan Venkatapathy, MD 1140 Main St, Livingston, CA 95334-1257 Ph: (209) 394-1362 |
Dr. Afnan Aisha Qadeer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1140 Main St, Livingston, CA 95334 Phone: 209-394-7913 Fax: 209-394-3660 | |
Augie N. Provencio, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 B St Bldg A-c, Livingston, CA 95334 Phone: 209-850-3500 | |
Karen Marie Romero, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1140 Main St, Livingston, CA 95334 Phone: 209-394-7913 Fax: 209-394-3021 | |
Glen Villanueva, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 B St, Livingston, CA 95334 Phone: 209-850-3500 Fax: 209-850-3499 |