Poorna Thirugnanasambandam, | |
445 W Eaton Ave, Tracy, CA 95376-3420 | |
(209) 830-4075 | |
Not Available |
Full Name | Poorna Thirugnanasambandam |
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Gender | Female |
Speciality | Family Medicine |
Location | 445 W Eaton Ave, Tracy, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407223217 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A149414 (California) | Primary |
Entity Name | Sutter Valley Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
Entity Name | Indian Health Center Of Santa Clara Valley |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881997963 PECOS PAC ID: 1153406665 Enrollment ID: O20120126000250 |
Mailing Address | Practice Location Address |
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Poorna Thirugnanasambandam, Po Box 255228, Sacramento, CA 95865-5228 Ph: () - | Poorna Thirugnanasambandam, 445 W Eaton Ave, Tracy, CA 95376-3420 Ph: (209) 830-4075 |
Dr. Robert Marroquin Acosta, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1530 Bessie Ave, Tracy, CA 95376 Phone: 209-834-1443 | |
Dr. Shital C. Hubli, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1470 Bessie Ave, Tracy, CA 95376 Phone: 209-833-0525 Fax: 209-830-7361 | |
Dr. Stephen Robert Kruger, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 445 W Eaton Ave, Tracy, CA 95376 Phone: 209-830-4075 | |
Mahesh K Sehgal, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W Eaton Ave, Tracy, CA 95376 Phone: 209-832-8560 Fax: 209-832-3119 | |
Dr. Sumitra Ramireddy, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 730 N Central Ave, Tracy, CA 95376 Phone: 209-820-1500 | |
Pranjalkumar H Patel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1530 Bessie Ave, Suite 105, Tracy, CA 95376 Phone: 209-836-3967 Fax: 209-836-0626 | |
Dr. Ian Thomas Pulliam, D.O. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 644 W 12th St, Tracy, CA 95376 Phone: 209-832-8984 Fax: 209-832-8988 |