| Dr Kuntal M Thaker, MD | |
|
2850 Commercial Crossing, Santa Cruz, CA 95065-1702 | |
| (831) 460-7350 | |
| (831) 460-7351 |
| Full Name | Dr Kuntal M Thaker |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 26 Years |
| Location | 2850 Commercial Crossing, Santa Cruz, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952369191 | NPI | - | NPPES |
| 161442001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | E-4883 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sutter Maternity & Surgery Center Of Santa Cruz | Santa cruz, CA | Hospital |
| Dominican Hospital | Santa cruz, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sutter Bay Medical Foundation | 4284538778 | 3318 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kuntal M Thaker, MD 2025 Soquel Ave., Santa Cruz, CA 95062-1323 Ph: () - | Dr Kuntal M Thaker, MD 2850 Commercial Crossing, Santa Cruz, CA 95065-1702 Ph: (831) 460-7350 |
Nicole Sudduth, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 115 Locust St, Santa Cruz, CA 95060 Phone: 831-458-5670 | |
Timothy W Allari, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2025 Soquel Ave, Santa Cruz, CA 95062 Phone: 831-458-5610 | |
Brent Culver, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2025 Soquel Ave, Santa Cruz, CA 95062 Phone: 831-458-5577 | |
Rodrigo Nicolas Cordero-pangrazio, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1661 Soquel Dr Ste D, Santa Cruz, CA 95065 Phone: 831-458-6925 | |
Holly B Moore, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2025 Soquel Ave, Santa Cruz, CA 95062 Phone: 831-458-5610 Fax: 831-423-6410 | |
Pritisheel Banga, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1595 Soquel Dr Ste 411, Santa Cruz, CA 95065 Phone: 831-475-8834 Fax: 831-462-2058 | |
Michael Alexander, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1669 Dominican Way, Santa Cruz, CA 95065 Phone: 831-475-2220 Fax: 831-475-2221 |