| Jude T Waterbury, MD | |
|
2382 Maritime Dr Ste 100, Elk Grove, CA 95758-3659 | |
| (916) 691-6622 | |
| (916) 691-6629 |
| Full Name | Jude T Waterbury |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 2382 Maritime Dr Ste 100, Elk Grove, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487626594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A90991 (California) | Primary |
| Entity Name | Sockolov & Sockolov A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205875663 PECOS PAC ID: 4284732348 Enrollment ID: O20070613000413 |
| Mailing Address | Practice Location Address |
|---|---|
| Jude T Waterbury, MD 2382 Maritime Dr Ste 100, Elk Grove, CA 95758-3659 Ph: (916) 691-6622 | Jude T Waterbury, MD 2382 Maritime Dr Ste 100, Elk Grove, CA 95758-3659 Ph: (916) 691-6622 |
Dr. David Lee, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8220 Wymark Dr, Elk Grove, CA 95757 Phone: 916-667-0600 Fax: 916-683-0232 | |
Mrs. Nichole Michelle Renschler, PAC Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8170 Laguna Blvd Ste 114, Elk Grove, CA 95758 Phone: 916-887-7940 Fax: 916-887-4045 | |
Nina Kaur Khangura, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 8220 Wymark Dr, Suite 200, Elk Grove, CA 95757 Phone: 916-691-8500 Fax: 916-691-8599 | |
Dr. Mira Roganovic, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8220 Wymark Drive, Suite 200, Elk Grove, CA 95757 Phone: 916-667-0600 Fax: 916-683-0232 | |
Dr. Radhika Nandur Bukkapatnam, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8110 Laguna Blvd, Elk Grove, CA 95758 Phone: 916-683-3950 Fax: 916-683-3970 | |
Dr. Eddy Y Joelson, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 8260 Longleaf Dr Bldg C, Elk Grove, CA 95758 Phone: 916-691-9827 | |
Mahmoud Khattab, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 9390 Big Horn Blvd, 145, Elk Grove, CA 95758 Phone: 916-691-6666 Fax: 916-691-6668 |