Raghu D Shettigar, MD | |
655 Euclid Ave Ste 409, National City, CA 91950-2981 | |
(619) 267-8313 | |
(619) 472-5008 |
Full Name | Raghu D Shettigar |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 655 Euclid Ave Ste 409, National City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528120540 | NPI | - | NPPES |
160697204 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | L6633 (Texas) | Secondary |
207V00000X | Obstetrics & Gynecology | C144284 (California) | Primary |
Entity Name | South Bay Obgyn |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265157986 PECOS PAC ID: 2264805241 Enrollment ID: O20230315000321 |
Mailing Address | Practice Location Address |
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Raghu D Shettigar, MD 655 Euclid Ave Ste 409, National City, CA 91950-2981 Ph: (619) 267-8313 | Raghu D Shettigar, MD 655 Euclid Ave Ste 409, National City, CA 91950-2981 Ph: (619) 267-8313 |
Mianda Cheree Carr, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2400 E 8th St, National City, CA 91950 Phone: 619-662-4118 | |
Mr. Elmer Wilbert Harder, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 655 Euclid Ave Ste 409, National City, CA 91950 Phone: 619-267-8313 Fax: 619-472-2008 | |
Anna David, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 502 Euclid Ave Ste 200, National City, CA 91950 Phone: 619-475-1261 Fax: 619-475-1267 | |
Ms. Gelen Receno Del Rosario, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 502 Euclid Ave, Suite #300, National City, CA 91950 Phone: 619-475-1261 Fax: 619-475-1267 | |
Dr. Juan Ramon Rivera Jr., M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 655 Euclid Ave, Suite 409, National City, CA 91950 Phone: 619-267-8313 Fax: 619-472-2008 | |
Mr. Aiwei Wang, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 655 Euclid Ave, Suite # 409, National City, CA 91950 Phone: 619-267-8313 Fax: 619-472-2008 |