Surendra Gupta, MD | |
2760 S Elm Ave, Fresno, CA 93706-5435 | |
(559) 457-5300 | |
(559) 457-5390 |
Full Name | Surendra Gupta |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 2760 S Elm Ave, Fresno, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033593769 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 152468 (California) | Primary |
Entity Name | Camarena Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891778114 PECOS PAC ID: 4880584317 Enrollment ID: O20040318000523 |
Entity Name | Clinica Sierra Vista |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740439314 PECOS PAC ID: 3870407505 Enrollment ID: O20090304000620 |
Mailing Address | Practice Location Address |
---|---|
Surendra Gupta, MD 2760 S Elm Ave, Fresno, CA 93706-5435 Ph: (559) 457-5300 | Surendra Gupta, MD 2760 S Elm Ave, Fresno, CA 93706-5435 Ph: (559) 457-5300 |
Wilfred Derksen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1570 E Herndon Ave, Fresno, CA 93720 Phone: 559-437-7300 Fax: 559-437-7153 | |
Dr. Jean Rankin Butterfield, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2719 N Air Fresno Dr, Fresno, CA 93727 Phone: 559-600-8918 | |
Dr. Mary A Gonzalez-howard, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4770 W Herndon Ave, Suite 108, Fresno, CA 93722 Phone: 559-256-7990 Fax: 559-256-7991 | |
Nilufer Raj Goyal-shockley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7300 N Fresno St, Fresno, CA 93720 Phone: 559-448-4500 | |
Dr. Nitika Narinder Dhir, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 155 N Fresno St, Ste 326, Fresno, CA 93701 Phone: 559-499-6466 | |
Denise Der Knudson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4785 N 1st St, Fresno, CA 93726 Phone: 559-448-4894 | |
Reem Aboushaar, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-443-2682 Fax: 559-443-2681 |