| Kenneth K Liu, MD | |
|
305 E Granger Ave, Ste 202, Modesto, CA 95350-4344 | |
| (209) 526-1606 | |
| (209) 526-1677 |
| Full Name | Kenneth K Liu |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Nephrology |
| Location | 305 E Granger Ave, Modesto, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326042391 | NPI | - | NPPES |
| 00A399600 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | A39960 (California) | Primary |
| Entity Name | Modesto Kidney Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306848569 PECOS PAC ID: 1052395795 Enrollment ID: O20040617001640 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth K Liu, MD 305 E Granger Ave, Ste 202, Modesto, CA 95350-4344 Ph: (209) 526-1606 | Kenneth K Liu, MD 305 E Granger Ave, Ste 202, Modesto, CA 95350-4344 Ph: (209) 526-1606 |
Brian E. Dolnick, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-557-1000 | |
Dr. Joshua Mckee Anderson, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-735-7200 | |
Sulman Razzaq, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1409 E Briggsmore Ave, Modesto, CA 95355 Phone: 209-550-4750 | |
Alvin K Eng, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1540 Florida Ave, # 100, Modesto, CA 95350 Phone: 209-577-5557 Fax: 209-577-8125 | |
Esra Olgun, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-521-6097 | |
Anjani Durga Golive, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1409 E Briggsmore Ave, Modesto, CA 95355 Phone: 209-550-4750 Fax: 209-572-3017 | |
Ronak Chandrakant Shah, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-521-6097 |