Richard Allen Park, MD | |
2500 Merced Street, San Leandro, CA 94577-4201 | |
(510) 454-1000 | |
Not Available |
Full Name | Richard Allen Park |
---|---|
Gender | Male |
Speciality | Hospitalist |
Location | 2500 Merced Street, San Leandro, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295813053 | NPI | - | NPPES |
00A722100 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | A72210 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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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 |
---|---|
Richard Allen Park, MD 2500 Merced Street, San Leandro, CA 94577-4201 Ph: (510) 454-1000 | Richard Allen Park, MD 2500 Merced Street, San Leandro, CA 94577-4201 Ph: (510) 454-1000 |
Sneha Alpesh Patel, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 | |
Abida Sultana Azim, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 | |
Jabeen Abdulla Parkar, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 | |
Jonathan Tsai, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-514-2872 | |
Priya Shastry, D.O. Hospitalist Medicare: Medicare Enrolled Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-332-1499 | |
Amitesh Mishra, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 |