| Mr Sadiq Mandilawi, MD | |
|
1234 Foothill Blvd, La Verne, CA 91750-3329 | |
| (909) 596-4879 | |
| (909) 596-9199 |
| Full Name | Mr Sadiq Mandilawi |
|---|---|
| Gender | Male |
| Speciality | Endocrinology |
| Experience | 62 Years |
| Location | 1234 Foothill Blvd, La Verne, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295716736 | NPI | - | NPPES |
| 00A342070 | Medicaid | CA | |
| CB220525 | Other | CA | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A34207 (California) | Secondary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | A34207 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pomona Valley Hospital Medical Center | Pomona, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| May Medical Management Corporation | 2668757055 | 4 |
| Entity Name | May Medical Management Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073058103 PECOS PAC ID: 2668757055 Enrollment ID: O20170327002614 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Sadiq Mandilawi, MD 1234 Foothill Blvd, La Verne, CA 91750-3329 Ph: (909) 596-4879 | Mr Sadiq Mandilawi, MD 1234 Foothill Blvd, La Verne, CA 91750-3329 Ph: (909) 596-4879 |
Dr. Mara Renee Archambault, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 3833 Emerald Ave, La Verne, CA 91750 Phone: 909-593-4531 Fax: 909-392-9598 | |
Dr. Eduardo P Siccion, MD Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 4523 Fruit St, La Verne, CA 91750 Phone: 860-999-9999 | |
Dr. Jeffrey Scott Mason, M.D. Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 5670 Shemiran St, La Verne, CA 91750 Phone: 909-593-4079 Fax: 951-274-3056 | |
Latha Madhavi Achanta, MD MPH Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 2105 Foothill Blvd Ste B262, La Verne, CA 91750 Phone: 909-901-3087 | |
Mr. James Ito, MD Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 7343 El Nido, La Verne, CA 91750 Phone: 909-596-7245 | |
Dr. Freddie M Ibrahim, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 4222 Bradford St, La Verne, CA 91750 Phone: 909-596-6418 |