| Dheeraj Nandanoor, Md | |
|
1801 E March Ln Ste D460 Stockton CA 95210-6680 | |
| (209) 472-2300 | |
| (209) 472-2446 |
| Full Name | Dheeraj Nandanoor, Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 1801 E March Ln Ste D460, Stockton, California |
| Authorized Official Name and Position | Sahithi Nandanoor (EXECUTIVE OFFICER) |
| Authorized Official Contact | 2094722300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dheeraj Nandanoor, Md 1801 E March Ln Ste D460 Stockton CA 95210-6680 Ph: (209) 472-2300 | Dheeraj Nandanoor, Md 1801 E March Ln Ste D460 Stockton CA 95210-6680 Ph: (209) 472-2300 |
| NPI Number | 1477019255 |
|---|---|
| Provider Enumeration Date | 02/16/2019 |
| Last Update Date | 03/03/2020 |
| Medicare PECOS PAC ID | 0840527412 |
|---|---|
| Medicare Enrollment ID | O20190806002192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477019255 | NPI | - | NPPES |
| 1053725820 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Dheeraj Nandanoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053725820 PECOS PAC ID: 4880934744 Enrollment ID: I20190313000950 |
| Provider Name | Parneeth Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750015673 PECOS PAC ID: 3971975293 Enrollment ID: I20230215001664 |
James H. Holmes, Jr., M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1502 St. Mark's Plaza, Suite 5, Stockton, CA 95207 Phone: 209-466-8683 Fax: 209-466-8309 | |
Aziz Kamali Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1947 N California St Ste A, Stockton, CA 95204 Phone: 209-478-5533 Fax: 209-475-0187 | |
Dameron Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 530 W Acacia St, Stockton, CA 95203 Phone: 209-461-3196 Fax: 209-461-7593 | |
Kulendu G Vasavda Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 Tuxedo Court, Suite B, Stockton, CA 95204 Phone: 209-941-0149 Fax: 209-941-2550 | |
Ht Family Physicians, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 77 W March Ln, Suite A, Stockton, CA 95207 Phone: 209-477-5552 Fax: 209-477-5553 | |
San Joaquin County Clinics Chs Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1414 N California St Suite A, Stockton, CA 95202 Phone: 209-953-6400 Fax: 209-468-2321 | |
American Current Care Of California, A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 W Hammer Ln, Stockton, CA 95210 Phone: 209-546-7767 Fax: 209-546-7785 |