| Dr Matthew Hudnall, MD | |
| 250 Hospital Pkwy, San Jose, CA 95119-1103 | |
| (408) 972-6783 | |
| Not Available | 
| Full Name | Dr Matthew Hudnall | 
|---|---|
| Gender | Male | 
| Speciality | Urology | 
| Location | 250 Hospital Pkwy, San Jose, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1750812608 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208800000X | Urology | 125.071211 (Illinois) | Secondary | 
| 208800000X | Urology | A185710 (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 | 
| Entity Name | City Of Hope Medical Foundation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1871886366 PECOS PAC ID: 3779751656 Enrollment ID: O20110720000244 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Matthew Hudnall, MD Po Box 82, Los Gatos, CA 95031-0082 Ph: () - | Dr Matthew Hudnall, MD 250 Hospital Pkwy, San Jose, CA 95119-1103 Ph: (408) 972-6783 | 
| Clifford Harris, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 260 International Cir, San Jose, CA 95119 Phone: 408-972-7000 | |
| Dr. Peter Albert Elliott, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 751 S Bascom Ave, San Jose, CA 95128 Phone: 408-885-5000 | |
| Hossein Habibi, MD Urology Medicare: Medicare Enrolled Practice Location: 175 N Jackson Ave, Ste 206, San Jose, CA 95116 Phone: 408-259-7282 Fax: 408-259-7594 | |
| Patrick Edward Wherry, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2505 Samaritan Dr, Suite 201, San Jose, CA 95124 Phone: 408-356-7089 Fax: 408-356-0890 | |
| Sunil K. Ahuja, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 260 International Cir, San Jose, CA 95119 Phone: 408-972-7000 | |
| Mheir Doursounian, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 260 International Cir, San Jose, CA 95119 Phone: 408-972-7000 | |
| Dr. Robert Walter Andonian, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 123 Di Salvo Ave, Suite D, San Jose, CA 95128 Phone: 408-279-0742 Fax: 408-279-1019 |