| Dr Elizabeth Brodsky Portin, DO | |
|
2500 Milvia St, Berkeley, CA 94704-2636 | |
| (510) 504-5600 | |
| (510) 506-7722 |
| Full Name | Dr Elizabeth Brodsky Portin |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2500 Milvia St, Berkeley, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932638111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 20A24562 (California) | Primary |
| 208000000X | Pediatrics | 125070842 (Illinois) | Secondary |
| Entity Name | Rush University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093819542 PECOS PAC ID: 5496658874 Enrollment ID: O20040202000228 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Elizabeth Brodsky Portin, DO 6701 Fannin St Ste 1710, Houston, TX 77030-2616 Ph: (832) 822-3658 | Dr Elizabeth Brodsky Portin, DO 2500 Milvia St, Berkeley, CA 94704-2636 Ph: (510) 504-5600 |
Dr. Jaleh Niazi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 900 Colusa Ave Ste 204, Berkeley, CA 94707 Phone: 510-465-4445 | |
Courtney Wedl Pickering, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2999 Regent St Suite 325, Berkeley, CA 94705 Phone: 925-438-1100 Fax: 925-254-1054 | |
Lisa S Kalar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1650 Walnut St, Berkeley, CA 94709 Phone: 510-848-2566 | |
Jennifer A Miller, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2999 Regent St Ste 325, Berkeley, CA 94705 Phone: 925-438-1110 Fax: 510-841-5650 | |
Gilbert Duritz, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 36 El Camino Real, Berkeley, CA 94705 Phone: 510-848-4581 | |
Samna Rasheed, D.O. Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 2450 Ashby Ave, Berkeley, CA 94705 Phone: 510-204-4444 Fax: 510-649-8287 | |
Olivia Lang, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1650 Walnut St, Berkeley, CA 94709 Phone: 510-848-2566 |