| Anirudh Vijay Chandra, DO | |
|
2220 Gladstone Dr Ste 3, Pittsburg, CA 94565-5123 | |
| (925) 432-3318 | |
| (925) 432-0886 |
| Full Name | Anirudh Vijay Chandra |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 2220 Gladstone Dr Ste 3, Pittsburg, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255837597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 87906 (South Carolina) | Secondary |
| 207R00000X | Internal Medicine | 20A19111 (California) | Primary |
| Entity Name | Pittsburg Antioch Medical Group A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619922911 PECOS PAC ID: 3173535846 Enrollment ID: O20060620000202 |
| Mailing Address | Practice Location Address |
|---|---|
| Anirudh Vijay Chandra, DO 2220 Gladstone Dr Ste 3, Pittsburg, CA 94565-5123 Ph: (925) 432-3318 | Anirudh Vijay Chandra, DO 2220 Gladstone Dr Ste 3, Pittsburg, CA 94565-5123 Ph: (925) 432-3318 |
Pragnesh M. Patel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2220 Gladstone Dr, Suite 3, Pittsburg, CA 94565 Phone: 925-432-3318 Fax: 925-432-0886 | |
Wengang Zhang, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2220 Gladstone Dr, Suite 3, Pittsburg, CA 94565 Phone: 925-432-3318 Fax: 925-432-4590 | |
Sanjay Ray, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2220 Gladstone Dr Ste 3, Pittsburg, CA 94565 Phone: 925-432-3318 Fax: 925-432-0886 | |
Shalini Madugundi, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2220 Gladstone Dr Ste 3, Pittsburg, CA 94565 Phone: 925-432-3318 Fax: 925-432-0886 | |
Dong Hoon Lee, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2220 Gladstone Dr Ste 3, Pittsburg, CA 94565 Phone: 925-432-3318 Fax: 925-432-0886 | |
Henry P Gong, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2220 Gladstone Dr, Suite 3, Pittsburg, CA 94565 Phone: 925-432-3318 | |
Dr. Alejandro R Prieto, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2220 Gladstone Dr, Suite 3, Pittsburg, CA 94565 Phone: 925-432-3318 Fax: 925-432-4590 |