| Eric John Suba, MD | |
|
1200 El Camino Real, South San Francisco, CA 94080-3208 | |
| (650) 742-3162 | |
| (650) 742-3055 |
| Full Name | Eric John Suba |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 1200 El Camino Real, South 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 |
|---|---|---|---|
| 1437246956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | G69017 (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 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric John Suba, MD 2295 Vallejo St, Suite 508, San Francisco, CA 94123-4765 Ph: (650) 742-3162 | Eric John Suba, MD 1200 El Camino Real, South San Francisco, CA 94080-3208 Ph: (650) 742-3162 |
Donghui Lin, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000 | |
Dr. Weidong Huang, MD, PHD Pathology Medicare: Not Enrolled in Medicare Practice Location: 345 Oyster Point Blvd, South San Francisco, CA 94080 Phone: 650-624-4590 | |
Grant Nybakken, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 383 E Grand Ave Ste A, South San Francisco, CA 94080 Phone: 650-616-2951 | |
Michael Abraham Pepper, MD Pathology Medicare: Medicare Enrolled Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000 | |
Shirley J. Huang, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000 | |
Athanasios Tsiatis, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 323 Allerton Ave, South San Francisco, CA 94080 Phone: 650-466-7125 |