Sun D Hansrote, MD | |
1721 W Yosemite Ave, Manteca, CA 95337-5130 | |
(209) 476-2000 | |
Not Available |
Full Name | Sun D Hansrote |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Neurology |
Location | 1721 W Yosemite Ave, Manteca, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033297932 | NPI | - | NPPES |
00A779240 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | A77924 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
---|---|
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 |
---|---|
Sun D Hansrote, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3429 Ph: (510) 625-6262 | Sun D Hansrote, MD 1721 W Yosemite Ave, Manteca, CA 95337-5130 Ph: (209) 476-2000 |
Zainab Al-dhaher, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 302 Cherry Ln Ste 208, Manteca, CA 95337 Phone: 209-823-2246 Fax: 209-823-2251 | |
Rashmi Prabhudas Parmar, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 302 Cherry Ln Ste 208, Manteca, CA 95337 Phone: 209-823-2246 Fax: 209-823-2251 | |
Kanwarjeet Singh Brar, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 302 Cherry Ln Ste 208, Manteca, CA 95337 Phone: 209-823-2246 | |
Kevin S. O'dell, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1721 W Yosemite Ave, Manteca, CA 95337 Phone: 209-476-2000 | |
Mr. Michael D Hevor, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 200 Cottage Ave, Ste 200, Manteca, CA 95336 Phone: 209-832-3332 Fax: 209-632-2258 | |
Dr. Bahman Amadi, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 717 W Atherton Dr Unit C321, Manteca, CA 95337 Phone: 714-793-7601 Fax: 714-409-0756 |