| Dr Nandini Lee Rao, MD | |
|
401 Bicentennial Way, Santa Rosa, CA 95403-2149 | |
| (707) 571-3778 | |
| (707) 571-3799 |
| Full Name | Dr Nandini Lee Rao |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 401 Bicentennial Way, Santa Rosa, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083807580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A111042 (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 | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nandini Lee Rao, MD 401 Bicentennial Way, Santa Rosa, CA 95403-2149 Ph: (707) 571-3778 | Dr Nandini Lee Rao, MD 401 Bicentennial Way, Santa Rosa, CA 95403-2149 Ph: (707) 571-3778 |
Dr. Stevan Keram, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1160 N Dutton Ave, Suite 255, Santa Rosa, CA 95401 Phone: 707-526-8800 Fax: 707-526-8886 | |
Barry G Pierce, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1260 N Dutton Ave, Santa Rosa, CA 95401 Phone: 707-525-9045 Fax: 707-525-0426 | |
Michael Frederick Kozart, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3322 Chanate Rd, Santa Rosa, CA 95404 Phone: 707-565-4970 | |
Neil P. Ehrlich, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3322 Chanate Rd., Santa Rosa, CA 95404 Phone: 707-565-4741 | |
Dr. Robert S. Gardner, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 525 College Ave, 211, Santa Rosa, CA 95404 Phone: 707-575-7647 Fax: 707-575-7739 | |
John F. Cassidy, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 |