| Mahua Biswas, MD | |
|
4640 Admiralty Way, Suite 102, Marina Del Rey, CA 90292-6629 | |
| (310) 836-1574 | |
| (310) 836-6925 |
| Full Name | Mahua Biswas |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 41 Years |
| Location | 4640 Admiralty Way, Marina Del Rey, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932153731 | NPI | - | NPPES |
| 00A485750 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | A48575 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southern California Hospital At Hollywood | Hollywood, CA | Hospital |
| Memorial Hospital Of Gardena | Gardena, CA | Hospital |
| Coast Plaza Hospital | Norwalk, CA | Hospital |
| Community Hospital Of Huntington Park | Huntington park, CA | Hospital |
| Los Angeles Community Hospital | Los angeles, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kc Tan Md Medical Corporation | 2062719719 | 23 |
| First Medical Center Inc | 8123083870 | 3 |
| Entity Name | Renaissance Imaging Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487608931 PECOS PAC ID: 7315841756 Enrollment ID: O20031126000257 |
| Entity Name | First Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134297492 PECOS PAC ID: 8123083870 Enrollment ID: O20041122001305 |
| Entity Name | Focus Medical Imaging |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528299989 PECOS PAC ID: 6406999259 Enrollment ID: O20100202000905 |
| Entity Name | Kc Tan, M.d. Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215394036 PECOS PAC ID: 2062719719 Enrollment ID: O20160324000980 |
| Mailing Address | Practice Location Address |
|---|---|
| Mahua Biswas, MD 4640 Admiralty Way, Suite 102, Marina Del Rey, CA 90292-6629 Ph: (310) 836-1574 | Mahua Biswas, MD 4640 Admiralty Way, Suite 102, Marina Del Rey, CA 90292-6629 Ph: (310) 836-1574 |
Dr. Laura A Thompson, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4640 Admiralty Way, Suite 102, Marina Del Rey, CA 90292 Phone: 310-836-1574 Fax: 310-836-6925 | |
Ashraf Hawari, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4640 Admiralty Way Ste 102, Marina Del Rey, CA 90292 Phone: 310-836-4700 | |
Dr. Harvey Walter Miller, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 119 Voyage Mall, Marina Del Rey, CA 90292 Phone: 310-577-8321 Fax: 310-577-8955 |