Purushottam Arjun Gholve, MD | |
9300 Valley Childrens Pl # Fe10, Madera, CA 93636-8761 | |
(559) 353-5941 | |
(559) 353-5945 |
Full Name | Purushottam Arjun Gholve |
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Gender | Male |
Speciality | Orthopaedic Surgery - Pediatric Orthopaedic Surgery |
Location | 9300 Valley Childrens Pl # Fe10, Madera, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114127685 | NPI | - | NPPES |
1114127685 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | C151265 (California) | Secondary |
207XP3100X | Orthopaedic Surgery - Pediatric Orthopaedic Surgery | C151265 (California) | Primary |
Entity Name | Valley Childrens Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437555265 PECOS PAC ID: 9032439336 Enrollment ID: O20150528001593 |
Mailing Address | Practice Location Address |
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Purushottam Arjun Gholve, MD 9300 Valley Childrens Pl # Sc05, Madera, CA 93636-8761 Ph: (559) 353-5941 | Purushottam Arjun Gholve, MD 9300 Valley Childrens Pl # Fe10, Madera, CA 93636-8761 Ph: (559) 353-5941 |
Dr. Jon E Oda, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 9300 Valley Childrens Pl # Fe10, Madera, CA 93636 Phone: 559-353-5941 | |
Dr. Thu-ba Leba, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 9300 Valley Childrens Pl, Mail Stop Fe10, Madera, CA 93636 Phone: 559-353-5945 | |
Shane G Forsting, D.O. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 9300 Valley Childrens Pl # Sc05, Madera, CA 93636 Phone: 559-353-5700 Fax: 559-353-5708 | |
Deric H Nye, D.O. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 9300 Valley Childrens Pl, Madera, CA 93636 Phone: 559-353-5941 Fax: 559-353-5945 | |
Dr. Kerry Lee Loveland, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 9300 Valley Childrens Pl, Madera, CA 93636 Phone: 804-836-2338 | |
Dr. Cyril William Rebel, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 550 East Almond Avenue, Suite A, Madera, CA 93637 Phone: 559-661-0476 Fax: 559-673-4565 |