| Dr Vijay Jethanandani, MD | |
|
582 Market St Ste 1608, San Francisco, CA 94104-5317 | |
| (415) 521-1506 | |
| (877) 448-3551 |
| Full Name | Dr Vijay Jethanandani |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 582 Market St Ste 1608, San Francisco, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932187143 | NPI | - | NPPES |
| 26001117 | Other | TN | RAILROAD MEDICARE |
| 1932187143 | Other | TN | NPI |
| 3043268 | Medicaid | TN | |
| 4005548 | Other | TN | BLUE BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD19665 (Tennessee) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 128480 (California) | Primary |
| Entity Name | State Of Tennessee |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487791315 PECOS PAC ID: 5698687077 Enrollment ID: O20031104000309 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Vijay Jethanandani, MD 582 Market St Ste 1608, San Francisco, CA 94104-5317 Ph: (415) 521-1506 | Dr Vijay Jethanandani, MD 582 Market St Ste 1608, San Francisco, CA 94104-5317 Ph: (415) 521-1506 |
Dr. Mary Susan Hansen, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 295 Fell St, Suite A, San Francisco, CA 94102 Phone: 415-648-3291 | |
Kristie Boyce, MD, MPH Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 333 Hayes St, Suite 210, San Francisco, CA 94102 Phone: 415-484-9259 Fax: 415-484-9259 | |
Dr. Shulamit Glaubach, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1939 Divisadero St, Suite 4c, San Francisco, CA 94115 Phone: 415-440-6505 | |
Jacob Moulds, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3061 Fillmore St, San Francisco, CA 94123 Phone: 415-292-3440 | |
Jack C Rose, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2100 Webster St, 4th Floor, San Francisco, CA 94115 Phone: 415-600-5760 | |
Dr. Yvonne W Wu, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 400 Parnassus Ave, San Francisco, CA 94143 Phone: 415-353-2813 | |
Dr. John Q. Young, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 401 Parnassus Ave, San Francisco, CA 94143 Phone: 415-476-7525 Fax: 415-502-2661 |