| Dr Prabodh Deokaranji Rathi, MD | |
|
108 Green Valley Rd, Freedom, CA 95019-3110 | |
| (831) 319-4194 | |
| (831) 319-4197 |
| Full Name | Dr Prabodh Deokaranji Rathi |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 33 Years |
| Location | 108 Green Valley Rd, Freedom, 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 |
|---|---|---|---|
| 1942449780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 41376 (Arizona) | Secondary |
| 207R00000X | Internal Medicine | 122987 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kaiser Foundation Hospital - Antioch | Antioch, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 8867 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Prabodh Deokaranji Rathi, MD 108 Green Valley Rd, Freedom, CA 95019-3110 Ph: (831) 319-4194 | Dr Prabodh Deokaranji Rathi, MD 108 Green Valley Rd, Freedom, CA 95019-3110 Ph: (831) 319-4194 |
Ronald K Albright, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 150 Carnation Dr, Freedom, CA 95019 Phone: 831-722-8125 Fax: 831-722-3694 | |
Mr. Albert James Crevello Jr., MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 243 Green Valley Rd Ste E, Freedom, CA 95019 Phone: 831-722-8807 Fax: 831-722-8809 | |
Miguel Vasquez, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 243 Green Valley Rd, Suite A, Freedom, CA 95019 Phone: 831-728-4595 Fax: 831-728-4598 | |
Mr. Francisco Lardizahal Ravago, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 99 Airport Blvd, Freedom, CA 95019 Phone: 831-724-7521 Fax: 831-724-9566 | |
Mr. Jeric Canda Villaruz, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 268 Green Valley Rd, Freedom, CA 95019 Phone: 831-728-0440 Fax: 831-728-4293 | |
Melissa Lopez-bermejo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 243 Green Valley Rd Ste D, Freedom, CA 95019 Phone: 831-728-6327 Fax: 831-761-7769 | |
Ronald I Waloff, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 243 Green Valley Rd Ste E, Freedom, CA 95019 Phone: 831-722-8807 Fax: 831-722-8809 |