Pavan K Madan, MD | |
1712 Picasso Ave Ste D, Davis, CA 95618-0546 | |
(530) 297-7500 | |
(530) 297-7751 |
Full Name | Pavan K Madan |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1712 Picasso Ave Ste D, Davis, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922319573 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 134176 (California) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 134176 (California) | Primary |
Entity Name | Mark David Levine Md Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154697944 PECOS PAC ID: 0143478305 Enrollment ID: O20120912000548 |
Entity Name | Mark David Levine Md Psychiatrists Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841626447 PECOS PAC ID: 4880814540 Enrollment ID: O20140930002224 |
Mailing Address | Practice Location Address |
---|---|
Pavan K Madan, MD 3835 N Freeway Blvd Ste 100, Sacramento, CA 95834-1954 Ph: (916) 576-7900 | Pavan K Madan, MD 1712 Picasso Ave Ste D, Davis, CA 95618-0546 Ph: (530) 297-7500 |
Emily Harris, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2208 Isle Royale Ln, Davis, CA 95616 Phone: 530-400-8963 | |
Dr. Mina Hah, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2056 Lyndell Ter Ste 130, Davis, CA 95616 Phone: 530-924-4038 | |
Dr. Phacharawut Kanchananakhin, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1712 Picasso Ave, Suite D, Davis, CA 95618 Phone: 916-576-7898 Fax: 916-285-0338 | |
Dr. Glenn E Fortini, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1 Shields Ave, Davis, CA 95616 Phone: 530-752-2300 Fax: 530-752-2306 | |
Dr. Elizabeth Weatherford Bowler, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 417 Mace Blvd, Suite J, Davis, CA 95618 Phone: 530-229-6585 | |
Dr. Helen Louise Krell, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 433 F St, Davis, CA 95616 Phone: 530-756-7050 Fax: 530-758-9845 | |
Dr. Tracy H Mccarthy, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1520 E. Covell Blvd Ste B5 #433, Davis, CA 95616 Phone: 916-581-2205 Fax: 916-414-8607 |