| Avantika Rudraraju, | |
|
201 E Orangeburg Ave, Modesto, CA 95350-5355 | |
| (209) 522-8881 | |
| Not Available |
| Full Name | Avantika Rudraraju |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Sleep Medicine |
| Location | 201 E Orangeburg Ave, Modesto, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952742751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 10581A (Wyoming) | Secondary |
| 207RS0012X | Internal Medicine - Sleep Medicine | A177500 (California) | Primary |
| Entity Name | Pacific Sleep Disorders Center A California General Partnership |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073534103 PECOS PAC ID: 0446229579 Enrollment ID: O20040927000457 |
| Entity Name | Kiritkumar B Patel Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750487021 PECOS PAC ID: 0840238333 Enrollment ID: O20050425000846 |
| Mailing Address | Practice Location Address |
|---|---|
| Avantika Rudraraju, 201 E Orangeburg Ave, Modesto, CA 95350-5355 Ph: (209) 522-8881 | Avantika Rudraraju, 201 E Orangeburg Ave, Modesto, CA 95350-5355 Ph: (209) 522-8881 |
Brian E. Dolnick, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-557-1000 | |
Dr. Joshua Mckee Anderson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-735-7200 | |
Sulman Razzaq, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1409 E Briggsmore Ave, Modesto, CA 95355 Phone: 209-550-4750 | |
Alvin K Eng, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1540 Florida Ave, # 100, Modesto, CA 95350 Phone: 209-577-5557 Fax: 209-577-8125 | |
Esra Olgun, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-521-6097 | |
Anjani Durga Golive, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1409 E Briggsmore Ave, Modesto, CA 95355 Phone: 209-550-4750 Fax: 209-572-3017 | |
Ronak Chandrakant Shah, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-521-6097 |