Mr Issa Dakkak, MD | |
6660 Coyle Ave, Carmichael, CA 95608 | |
(916) 966-6544 | |
Not Available |
Full Name | Mr Issa Dakkak |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 6660 Coyle Ave, Carmichael, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497702971 | NPI | - | NPPES |
00A407840 | Other | CA | BS OF CA |
00A407840 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | A40784 (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 |
---|---|
Mr Issa Dakkak, MD 5530 Birdcage Street, Ste #145, Citrus Heights, CA 95610 Ph: (209) 956-7725 | Mr Issa Dakkak, MD 6660 Coyle Ave, Carmichael, CA 95608 Ph: (916) 966-6544 |
Mr. Melvin S Nunn, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 6501 Coyle Ave, Carmichael, CA 95608 Phone: 916-537-5000 | |
Mr. Ridgley F Wong, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6501 Coyle Ave, Carmichael, CA 95608 Phone: 916-537-5000 Fax: 916-851-2884 | |
Ms. Hong Ying Li, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 6501 Coyle Ave, Carmichael, CA 95608 Phone: 916-537-5000 Fax: 916-851-2884 | |
Yueh-han William Chung, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6501 Coyle Ave, Carmichael, CA 95608 Phone: 916-537-5000 Fax: 916-851-2884 | |
Dr. Jeanne Kim, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 6501 Coyle Ave, Carmichael, CA 95608 Phone: 916-537-5000 Fax: 916-851-2884 | |
Mr. Brian F Flanagan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6501 Coyle Ave, Carmichael, CA 95608 Phone: 916-537-5000 Fax: 916-851-2884 | |
Ashutosh Hegde Udipi, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6501 Coyle Ave, Carmichael, CA 95608 Phone: 916-537-5000 Fax: 916-851-2884 |