| Dr Divya Gangwar, MD | |
|
637 Merced St, Newman, CA 95360-1070 | |
| (209) 862-0270 | |
| (209) 862-0274 |
| Full Name | Dr Divya Gangwar |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 637 Merced St, Newman, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578795464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MT 194824 (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | A123793 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Divya Gangwar, MD 737 W Childs Ave, Merced, CA 95341-6805 Ph: (209) 384-6493 | Dr Divya Gangwar, MD 637 Merced St, Newman, CA 95360-1070 Ph: (209) 862-0270 |
Hanika Gupta, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 637 Merced St, Newman, CA 95360 Phone: 209-862-0270 Fax: 209-862-0274 | |
Dr. Eric Francis Herzog, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 637 Merced St, Newman, CA 95360 Phone: 209-722-4842 Fax: 866-234-5550 | |
Dr. Philip Byron Kalman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1349 Main St, Newman, CA 95360 Phone: 209-862-3604 Fax: 209-862-3904 | |
Alessandra D'avanzo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 637 Merced St, Newman, CA 95360 Phone: 209-862-0270 Fax: 209-862-0274 |