| Dr Dilip Suryavanshi, MD | |
|
1540 Healdsburg Ave, Healdsburg, CA 95448-3253 | |
| (707) 473-4404 | |
| Not Available |
| Full Name | Dr Dilip Suryavanshi |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1540 Healdsburg Ave, Healdsburg, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104015387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | A112298 (California) | Primary |
| 204F00000X | Transplant Surgery | A112298 (California) | Secondary |
| Entity Name | North Sonoma County Health Care District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194824573 PECOS PAC ID: 4789594367 Enrollment ID: O20060406000251 |
| Entity Name | Norcal Healthconnect Llc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1861009672 PECOS PAC ID: 2466864038 Enrollment ID: O20201225000001 |
| Entity Name | Norcal Healthconnect Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720695547 PECOS PAC ID: 2466864038 Enrollment ID: O20210308001127 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dilip Suryavanshi, MD 1540 Healdsburg Ave, Healdsburg, CA 95448-3253 Ph: (707) 473-4404 | Dr Dilip Suryavanshi, MD 1540 Healdsburg Ave, Healdsburg, CA 95448-3253 Ph: (707) 473-4404 |
Joseph M Tito, MD Surgery Medicare: Medicare Enrolled Practice Location: 1312 Prentice Dr, Healdsburg, CA 95448 Phone: 707-433-3383 | |
Dr. Henry Cuevas Flores, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 451 March Ave, Ste B, Healdsburg, CA 95448 Phone: 707-433-8844 Fax: 707-433-8836 | |
Pringl L Miller, MD Surgery Medicare: Medicare Enrolled Practice Location: 1381 University St, Healdsburg, CA 95448 Phone: 801-548-3013 | |
Allen D. Galster, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1540 Healdsburg Ave, Healdsburg, CA 95448 Phone: 707-473-4404 Fax: 707-473-4405 | |
Dr. Alan Pollard Fritz, MD Surgery Medicare: Medicare Enrolled Practice Location: 818 Powell Ave, Healdsburg, CA 95448 Phone: 707-395-0774 |