Swapna S Kudtarkar, MD | |
401 E Highland Ave Ste 450a, San Bernardino, CA 92404-3803 | |
(909) 864-4700 | |
(909) 883-0459 |
Full Name | Swapna S Kudtarkar |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 401 E Highland Ave Ste 450a, San Bernardino, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104939172 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A067887 (California) | Primary |
Entity Name | Dignity Health Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709 |
Mailing Address | Practice Location Address |
---|---|
Swapna S Kudtarkar, MD 3400 Data Dr, Rancho Cordova, CA 95670-7956 Ph: () - | Swapna S Kudtarkar, MD 401 E Highland Ave Ste 450a, San Bernardino, CA 92404-3803 Ph: (909) 864-4700 |
Dr. Kofi Adade-boafo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2150 N Waterman Ave, Ste 200, San Bernardino, CA 92404 Phone: 909-887-7951 Fax: 909-883-1634 | |
Dr. Sajad Jawad Khazal, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 250 E Caroline St Ste E, San Bernardino, CA 92408 Phone: 909-651-1910 | |
Dr. Irene Styadi Tsai, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 685 Carnegie Dr, Ste. #230, San Bernardino, CA 92408 Phone: 909-890-0407 | |
Angie Bagheri Cook, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 565 N. Mount Vernon Ave, San Bernardino, CA 92411 Phone: 909-884-9091 | |
Mrs. Amal Shoukry Ibrahim, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 565 N. Mt. Vernon Ave, San Bernardino, CA 92411 Phone: 909-884-9091 Fax: 909-383-7013 | |
Ms. Lanny Nizar, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-881-4315 Fax: 909-881-4474 |