| Dr Kenneth Phan, MD | |
|
150 N Jackson Ave, Suite 209, San Jose, CA 95116-1908 | |
| (408) 929-2680 | |
| (408) 929-4635 |
| Full Name | Dr Kenneth Phan |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 27 Years |
| Location | 150 N Jackson Ave, San Jose, California |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336250836 | NPI | - | NPPES |
| 00A771730 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | A77173 (California) | Primary |
| Entity Name | Silicon Valley Ob-gyn Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780729426 PECOS PAC ID: 5698860179 Enrollment ID: O20070927001085 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Phan, MD 150 N Jackson Ave, Suite 209, San Jose, CA 95116-1908 Ph: (408) 929-2680 | Dr Kenneth Phan, MD 150 N Jackson Ave, Suite 209, San Jose, CA 95116-1908 Ph: (408) 929-2680 |
Alexandra Lynne Woodcock, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 650 S Bascom Ave, San Jose, CA 95128 Phone: 408-885-5558 | |
Vajiramala R. Dharmasena, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 260 International Cir, San Jose, CA 95119 Phone: 408-972-7000 | |
Kim Pham, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1804 Mclaughlin Ave, San Jose, CA 95122 Phone: 408-421-1822 | |
Thomas T.h. Lin, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 260 International Cir, San Jose, CA 95119 Phone: 408-972-7000 | |
Melody Besharati, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 751 S Bascom Ave, San Jose, CA 95128 Phone: 408-885-5000 | |
Shammah Okai, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 751 S Bascom Ave, San Jose, CA 95128 Phone: 888-334-1000 | |
Dr. Elizabeth Anne Buescher, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 455 O'connor Drive, Suite 370, San Jose, CA 95128 Phone: 408-831-5720 Fax: 408-831-5781 |