Sudarsan Kollimuttathuillam, MD | |
16300 Sand Canyon Ave Ste 207, Irvine, CA 92618-3712 | |
(949) 333-7580 | |
(949) 333-7599 |
Full Name | Sudarsan Kollimuttathuillam |
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Gender | Male |
Speciality | Hematology/oncology |
Experience | 12 Years |
Location | 16300 Sand Canyon Ave Ste 207, Irvine, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902324528 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | A169385 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hoag Memorial Hospital Presbyterian | Newport beach, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
City Of Hope Medical Foundation | 3779751656 | 690 |
Entity Name | Pacific Shores Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598814634 PECOS PAC ID: 0749275808 Enrollment ID: O20040417000523 |
Entity Name | City Of Hope Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871886366 PECOS PAC ID: 3779751656 Enrollment ID: O20110720000244 |
Mailing Address | Practice Location Address |
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Sudarsan Kollimuttathuillam, MD Po Box 512185, Los Angeles, CA 90051-0185 Ph: () - | Sudarsan Kollimuttathuillam, MD 16300 Sand Canyon Ave Ste 207, Irvine, CA 92618-3712 Ph: (949) 333-7580 |
Akbar Nassiry, M.D., M.P.H. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 4000 Barranca Parkway, Ste. 250, Irvine, CA 92604 Phone: 949-577-0047 Fax: 909-635-6085 | |
Omid Vesal, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2500 Alton Parkway, Suite 101, Irvine, CA 92606 Phone: 949-222-2722 Fax: 949-222-9969 | |
Dr. Maria Teresa Corpin Agner, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 11 Technology Dr, Irvine, CA 92618 Phone: 855-206-6764 Fax: 949-923-3575 | |
Dr. Susan Davoodifar, M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 4199 Campus Dr, Suite 550, Irvine, CA 92612 Phone: 949-509-6503 Fax: 949-326-0103 | |
Randa Serag, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 4708 Barranca Pkwy, Irvine, CA 92604 Phone: 949-791-3101 Fax: 949-791-3112 | |
Tara E Seery, Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 16105 Sand Canyon Ave Ste 230, Irvine, CA 92618 Phone: 949-764-5347 Fax: 949-557-0221 | |
Nadir Yusaf Qazi, DO Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 113 Waterworks Way Ste 105, Irvine, CA 92618 Phone: 949-336-7293 |