| Dr Meredith Gavin Pham, MD | |
|
632 W Gibson Rd, Woodland, CA 95695-5169 | |
| (530) 668-2600 | |
| (530) 669-3638 |
| Full Name | Dr Meredith Gavin Pham |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Location | 632 W Gibson Rd, Woodland, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477176246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | A201838 (California) | Primary |
| Entity Name | Dermatology Associates Of West Texas, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679704530 PECOS PAC ID: 7911048632 Enrollment ID: O20100104000221 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Meredith Gavin Pham, MD 3400 Data Dr, Rancho Cordova, CA 95670-7956 Ph: () - | Dr Meredith Gavin Pham, MD 632 W Gibson Rd, Woodland, CA 95695-5169 Ph: (530) 668-2600 |
Dr. Christie Lyn Carroll, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 632 W Gibson Rd, Woodland, CA 95695 Phone: 530-668-2600 Fax: 530-669-3638 | |
Ingrid N Wahjudi, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 632 W Gibson Rd, Woodland, CA 95695 Phone: 530-668-2600 Fax: 530-669-3638 | |
Dr. Debra A Horney, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2081 Bronze Star Dr, Woodland, CA 95776 Phone: 530-668-2600 Fax: 530-661-1063 | |
Dr. Maulik Manharlal Dhandha, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 632 W Gibson Rd, Woodland, CA 95695 Phone: 530-668-2600 Fax: 530-669-3638 |