| Dr Adhira Divagaran, MD | |
|
1100 Larkspur Landing Cir Ste 10, Larkspur, CA 94939-1836 | |
| (415) 924-1214 | |
| Not Available |
| Full Name | Dr Adhira Divagaran |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 4 Years |
| Location | 1100 Larkspur Landing Cir Ste 10, Larkspur, California |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588243729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A188778 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marinhealth Medical Center | Greenbrae, CA | Hospital |
| Novato Community Hospital | Novato, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Regents Univ Of California Ucsf | 6305160300 | 249 |
| Entity Name | Regents Univ Of California Ucsf |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124439807 PECOS PAC ID: 6305160300 Enrollment ID: O20150122001375 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Adhira Divagaran, MD 1100 Larkspur Landing Cir Ste 10, Larkspur, CA 94939-1836 Ph: () - | Dr Adhira Divagaran, MD 1100 Larkspur Landing Cir Ste 10, Larkspur, CA 94939-1836 Ph: (415) 924-1214 |
Dr. Dylan L Bellavance, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 5 Bon Air Rd Ste 117, Larkspur, CA 94939 Phone: 415-448-1500 | |
Stephen Gary Mlawsky, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 228 Old Quarry Rd N, Larkspur, CA 94939 Phone: 916-849-6178 | |
Ms. Jacqueline Susanna Chan, D.O./OSTEOPATH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Larkspur Landing Circle #255, Larkspur, CA 94939 Phone: 415-945-3213 Fax: 415-329-5080 | |
Grace Fong, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Larkspur Landing Cir Ste 10, Larkspur, CA 94939 Phone: 415-924-1214 Fax: 415-924-1375 |