| Dr Sunny Koipurathu Philip Jr, MD | |
|
801 S Ham Ln Ste S, Lodi, CA 95242-7503 | |
| (209) 366-2616 | |
| (209) 333-3884 |
| Full Name | Dr Sunny Koipurathu Philip Jr |
|---|---|
| Gender | Male |
| Speciality | Hematology/oncology |
| Experience | 14 Years |
| Location | 801 S Ham Ln Ste S, Lodi, 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 |
|---|---|---|---|
| 1578852109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | A151375 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health Lodi Memorial | Lodi, CA | Hospital |
| Mark Twain Medical Center | San andreas, CA | Hospital |
| St Joseph's Medical Center Of Stockton | Stockton, CA | Hospital |
| Doctors Hospital Of Manteca | Manteca, CA | Hospital |
| Sutter Amador Hospital | Jackson, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stockton Hematology Oncology Medical Group Inc | 1456369800 | 9 |
| Entity Name | Stockton Hematology Oncology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922175074 PECOS PAC ID: 1456369800 Enrollment ID: O20060328000211 |
| Entity Name | Mark Twain Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508968819 PECOS PAC ID: 8820073711 Enrollment ID: O20061006000227 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sunny Koipurathu Philip Jr, MD 2626 N California St Ste B, Stockton, CA 95204-5500 Ph: (209) 466-2626 | Dr Sunny Koipurathu Philip Jr, MD 801 S Ham Ln Ste S, Lodi, CA 95242-7503 Ph: (209) 366-2616 |
Frank T Huang, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1235 W Vine St, Suite 22, Lodi, CA 95240 Phone: 209-334-8520 Fax: 209-334-2109 | |
Dr. Tarandeep Singh Arora, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 999 S Fairmont Ave Ste 130, Lodi, CA 95240 Phone: 209-366-2001 | |
Harpreet Singh Parmar, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 999 S Fairmont Ave Ste 130, Lodi, CA 95240 Phone: 209-366-2001 | |
Dr. Ghaus M Malik, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 12945 N Highway 88, Lodi, CA 95240 Phone: 209-334-3923 Fax: 209-334-3985 | |
Dr. Than Soe, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2415 W Vine St Ste 105, Lodi, CA 95242 Phone: 209-333-3121 | |
Mani Mahdyoon, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 845 S Fairmont Ave Ste 5, Lodi, CA 95240 Phone: 209-366-2360 Fax: 209-366-2352 | |
Khaleeq Hussain Siddiqui, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 621 S Ham Ln Ste A, Lodi, CA 95242 Phone: 209-334-8514 |