Mr Vijay Mysore Ravindra, MD | |
34800 Bob Wilson Dr, San Diego, CA 92134-1098 | |
(619) 532-6400 | |
Not Available |
Full Name | Mr Vijay Mysore Ravindra |
---|---|
Gender | Male |
Speciality | Neurological Surgery |
Location | 34800 Bob Wilson Dr, San Diego, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982995841 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | A161999 (California) | Primary |
Entity Name | Texas Childrens Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861675506 PECOS PAC ID: 4385722081 Enrollment ID: O20080422000209 |
Mailing Address | Practice Location Address |
---|---|
Mr Vijay Mysore Ravindra, MD 3020 Childrens Way # Mc5003, San Diego, CA 92123-4223 Ph: (858) 309-6300 | Mr Vijay Mysore Ravindra, MD 34800 Bob Wilson Dr, San Diego, CA 92134-1098 Ph: (619) 532-6400 |
Dr. John Moss Seelig, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 8929 University Center Lane, #203, San Diego, CA 92122 Phone: 858-453-9950 | |
Dr. Sunil P Jeswani, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 | |
Mrs. Eunice Gregorio Manglicmot, NP Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 13019 War Bonnet St, San Diego, CA 92129 Phone: 619-616-1259 | |
Dr. Alexander A Khalessi, M.D., MS Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, Mc 8893, San Diego, CA 92103 Phone: 619-543-5529 Fax: 619-471-3931 | |
Rex L Rhoten, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 4510 Executive Dr Ste 103, San Diego, CA 92121 Phone: 858-677-9352 Fax: 858-677-9356 | |
Dr. David Rafael Santiago-dieppa, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 | |
Dr. David Barba, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 |