Ravi V Gangula, MD | |
4601 Dale Rd, Modesto, CA 95356-9718 | |
(209) 557-1000 | |
Not Available |
Full Name | Ravi V Gangula |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 28 Years |
Location | 4601 Dale Rd, Modesto, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336227149 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | A74219 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kaiser Foundation Hospital Manteca | Manteca, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Permanente Medical Group Inc | 8921910225 | 8376 |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Ravi V Gangula, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Ravi V Gangula, MD 4601 Dale Rd, Modesto, CA 95356-9718 Ph: (209) 557-1000 |
Dr. Scott Alan Alexander, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-943-2041 Fax: 209-473-9365 | |
Robert Ralph Anderson, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1524 Mchenry Ave, Suite 100, Modesto, CA 95350 Phone: 209-577-4444 Fax: 209-527-2069 | |
Rafael Vargas, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-550-4755 Fax: 209-521-3970 | |
Kevin Tae Il Whang, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1524 Mchenry Ave, Modesto, CA 95350 Phone: 209-577-4444 Fax: 209-527-2069 | |
Paul Jonathan Ramirez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1524 Mchenry Ave, Suite 430, Modesto, CA 95350 Phone: 209-577-4444 Fax: 209-846-7309 | |
Michael R. Klieger, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1524 Mchenry Ave, Suite 100, Modesto, CA 95350 Phone: 209-571-6622 Fax: 209-527-2069 | |
David Y Li, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211 |