Richard Danialan, DO | |
4301 N Star Way, Modesto, CA 95356-9262 | |
(209) 577-1200 | |
(209) 577-6517 |
Full Name | Richard Danialan |
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Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 4301 N Star Way, Modesto, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1861704058 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 20A13177 (California) | Primary |
Entity Name | Yosemite Pathology Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598760985 PECOS PAC ID: 3072415751 Enrollment ID: O20040217000597 |
Entity Name | Precision Pathology Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295797355 PECOS PAC ID: 7719974153 Enrollment ID: O20040428000676 |
Mailing Address | Practice Location Address |
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Richard Danialan, DO 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (209) 577-1200 | Richard Danialan, DO 4301 N Star Way, Modesto, CA 95356-9262 Ph: (209) 577-1200 |
Christy L Perez-valles, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 4301 Northstar Way, Modesto, CA 95356 Phone: 209-577-1200 Fax: 209-577-6517 | |
Dr. Scott Goodwin Silveira, M. D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 4301 N Star Way, Modesto, CA 95356 Phone: 209-577-1200 Fax: 209-577-6517 | |
Christine Lori Rongey, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 4301 Northstar Way, Modesto, CA 95356 Phone: 209-577-1200 Fax: 209-577-6517 | |
William Austin Knapp, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2625 Coffee Rd, Ste S, Modesto, CA 95355 Phone: 209-577-1200 Fax: 209-577-6517 | |
Sara J Kwong, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 4301 Northstar Way, Modesto, CA 95356 Phone: 209-577-1200 Fax: 209-577-6517 | |
Dr. Marnelli Aguilar Bautista-quach, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 4301 N Star Way, Modesto, CA 95356 Phone: 209-577-1200 Fax: 209-577-6517 | |
Curtis Roy Strong, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 4301 N Star Way, Modesto, CA 95356 Phone: 209-577-1200 Fax: 209-577-6517 |