Sushma Sangita Sadula, MD | |
12442 Limonite Ave Unit 205, Eastvale, CA 91752-2467 | |
(909) 429-2864 | |
Not Available |
Full Name | Sushma Sangita Sadula |
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Gender | Female |
Speciality | Family Medicine |
Location | 12442 Limonite Ave Unit 205, Eastvale, 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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1104489566 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | A176414 (California) | Primary |
Entity Name | Cucamonga Valley Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497783229 PECOS PAC ID: 6709899883 Enrollment ID: O20060712000099 |
Entity Name | J M Geiss Do Apc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063825289 PECOS PAC ID: 6103044078 Enrollment ID: O20140919001932 |
Mailing Address | Practice Location Address |
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Sushma Sangita Sadula, MD 12442 Limonite Ave Unit 205, Eastvale, CA 91752-2467 Ph: (909) 429-2864 | Sushma Sangita Sadula, MD 12442 Limonite Ave Unit 205, Eastvale, CA 91752-2467 Ph: (909) 429-2864 |
Charles Hunt Ballard, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12742 Limonite Ave, Eastvale, CA 92880 Phone: 951-739-2712 | |
Jodi L. Garcia, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 16756 Chino Corona Rd, Eastvale, CA 92880 Phone: 909-597-1771 | |
Peter Dung-quoc Doan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 12442 Limonite Ave Unit 205, Eastvale, CA 91752 Phone: 909-429-2864 Fax: 909-429-2868 |