| Hanjay Wang, MD | |
| 710 Lawrence Expy, Dept 342, 3rd Floor, Santa Clara, CA 95051-5173 | |
| (408) 851-3780 | |
| Not Available | 
| Full Name | Hanjay Wang | 
|---|---|
| Gender | Male | 
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) | 
| Location | 710 Lawrence Expy, Santa Clara, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1992182000 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | A143896 (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 | 
|---|---|
| Hanjay Wang, MD 710 Lawrence Expy, Dept 342, 3rd Floor, Santa Clara, CA 95051-5173 Ph: (408) 851-3780 | Hanjay Wang, MD 710 Lawrence Expy, Dept 342, 3rd Floor, Santa Clara, CA 95051-5173 Ph: (408) 851-3780 | 
| Dr. Sumanth Kidambi, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy Dept 342, Santa Clara, CA 95051 Phone: 408-568-0043 | |
| Richard J. Bloom, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000 | |
| Alexander Hill Moskovitz, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000 | |
| Dr. Amod Tendulkar, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 710 Lawrence Expy Dept 342, Santa Clara, CA 95051 Phone: 408-851-3779 Fax: 408-851-3862 |