Jeremy Radovsky, | |
39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 | |
(510) 248-3200 | |
Not Available |
Full Name | Jeremy Radovsky |
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Gender | Male |
Speciality | Physical Therapist |
Location | 39400 Paseo Padre Pkwy, Fremont, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366896169 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 43394 (California) | Primary |
Provider Name | Permanente Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Jeremy Radovsky, 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 Ph: () - | Jeremy Radovsky, 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 Ph: (510) 248-3200 |
Shweta Prakash Sadalge, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1895 Mowry Ave, Suite #118a, Fremont, CA 94538 Phone: 510-790-0383 Fax: 510-790-1197 | |
Ina Fitzgibbon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 39210 State St, Ste 202, Fremont, CA 94538 Phone: 415-420-6127 | |
Judy Nalanganeagleton, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-248-3200 | |
Mr. Kyle Takeo Tanamachi, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-248-3504 | |
Katharin Kaczor, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3800 Walnut Ave, #303b, Fremont, CA 94538 Phone: 510-742-9580 | |
Anju Sharma, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2942 Cheswycke Ter, Apt 157, Fremont, CA 94536 Phone: 602-773-1058 | |
Anuradha Hajarnis, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 39210 State St, Fremont, CA 94538 Phone: 510-790-9480 |