Srita Chakka, | |
42600 Mirage Rd, Rancho Mirage, CA 92270-4127 | |
(760) 423-4000 | |
Not Available |
Full Name | Srita Chakka |
---|---|
Gender | Female |
Speciality | Dermatology |
Location | 42600 Mirage Rd, Rancho Mirage, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972130888 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | A196200 (California) | Primary |
Entity Name | Contour Dermatology And Cosmetic Surgery Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063502227 PECOS PAC ID: 5890716146 Enrollment ID: O20051214000328 |
Mailing Address | Practice Location Address |
---|---|
Srita Chakka, 42600 Mirage Rd, Rancho Mirage, CA 92270-4127 Ph: (760) 423-4000 | Srita Chakka, 42600 Mirage Rd, Rancho Mirage, CA 92270-4127 Ph: (760) 423-4000 |
Dr. David Martin Morrow, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 69780 Stellar Dr, Rancho Mirage, CA 92270 Phone: 760-202-2770 Fax: 760-202-4676 | |
Dr. Timothy Mark Jochen, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 42600 Mirage Rd, Bldg A1, Rancho Mirage, CA 92270 Phone: 760-416-6971 Fax: 760-318-8103 | |
Christian Jordan, M.D., PH.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 42600 Mirage Rd, Rancho Mirage, CA 92270 Phone: 760-423-4000 | |
Dr. Leon Gordon Clark Jr., M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-340-8248 | |
Dr. Keyan Matinpour, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-837-8542 Fax: 760-837-8543 | |
Carrie Davidson, PA Dermatology Medicare: Medicare Enrolled Practice Location: 35200 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-328-8884 | |
Dr. Wendy Eileen Roberts, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 39700 Bob Hope Dr, Suite 115, Rancho Mirage, CA 92270 Phone: 760-346-4262 Fax: 760-340-9892 |