Siraphob Chansangavej, MD | |
99 Montecillo Rd, San Rafael, CA 94903-3308 | |
(415) 791-1329 | |
Not Available |
Full Name | Siraphob Chansangavej |
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Gender | Male |
Speciality | Hospitalist |
Location | 99 Montecillo Rd, San Rafael, 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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1386268027 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208M00000X | Hospitalist | 337657 (Louisiana) | Primary |
Entity Name | Administrators Of The Tulane Educational Fund |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528014164 PECOS PAC ID: 0446163760 Enrollment ID: O20031201000636 |
Mailing Address | Practice Location Address |
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Siraphob Chansangavej, MD 6208 S Rocheblave St Apt B, New Orleans, LA 70125-4223 Ph: (504) 400-3509 | Siraphob Chansangavej, MD 99 Montecillo Rd, San Rafael, CA 94903-3308 Ph: (415) 791-1329 |
Robert A. Lowell, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 | |
Stephen G. Mizroch, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 | |
Gregory S. Arent, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 | |
Renata M. Scott, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-4885 | |
Jeffrey A. Lovold, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 | |
Shideh N. Shadan, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 |