| Andrew Blakely, MD | |
|
1500 Duarte Rd, Duarte, CA 91010-3012 | |
| (626) 256-4673 | |
| Not Available |
| Full Name | Andrew Blakely |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1500 Duarte Rd, Duarte, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386962603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | LP01881 (Rhode Island) | Secondary |
| 208600000X | Surgery | A147398 (California) | Primary |
| Entity Name | Carroll Health Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437473550 PECOS PAC ID: 3870627029 Enrollment ID: O20100810000945 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Blakely, MD Po Box 512185, Los Angeles, CA 90051-0185 Ph: (626) 775-3514 | Andrew Blakely, MD 1500 Duarte Rd, Duarte, CA 91010-3012 Ph: (626) 256-4673 |
Dr. Mustafa Raoof, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 626-256-4673 | |
Dr. Edna Clogg Shenvi, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 626-256-4673 | |
Gagandeep Singh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 626-775-3200 Fax: 626-408-3911 | |
Ms. Ellie Maghami, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 626-256-4673 | |
Dr. Louisa W Chiu, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 626-471-7100 | |
Shaila Merchant, MSC, MHSC, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1500 E Duarte Road, Mob L001, Duarte, CA 91010 Phone: 626-256-4673 | |
Ms. Lily Lai, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 E Duarte Rd, Duarte, CA 91010 Phone: 626-359-8111 |