| Mr Vachaspathi Palakodeti, MD | |
|
516 West Aten Road, Suite 1, Imperial, CA 92251 | |
| (760) 355-8300 | |
| (760) 545-0240 |
| Full Name | Mr Vachaspathi Palakodeti |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 40 Years |
| Location | 516 West Aten Road, Imperial, 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 |
|---|---|---|---|
| 1649224387 | NPI | - | NPPES |
| GR0066313 | Other | CA | MEDI CAL GROUP NUMBER |
| 00A524840 | Medicaid | CA | |
| WA52484J | Other | CA | MEDICARE PTAN |
| ZZZ54781Z | Other | CA | BLUE SHIELD OF CALIFORNIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | A52484 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| El Centro Regional Medical Center | El centro, CA | Hospital |
| Pioneers Memorial Healthcare District | Brawley, CA | Hospital |
| Uc San Diego Health Hillcrest - Hillcrest Med Ctr | San diego, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Imperial Valley Family Care Medical Group A P C | 0446243083 | 21 |
| Entity Name | Imperial Valley Family Care Medical Group A P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275581894 PECOS PAC ID: 0446243083 Enrollment ID: O20040407001358 |
| Entity Name | El Centro Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1861409823 PECOS PAC ID: 6901986397 Enrollment ID: O20090522000227 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Vachaspathi Palakodeti, MD 516 West Aten Road, Suite 2, Imperial, CA 92251 Ph: (760) 355-7730 | Mr Vachaspathi Palakodeti, MD 516 West Aten Road, Suite 1, Imperial, CA 92251 Ph: (760) 355-8300 |
Masoud Afshar, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 220 N Imperial Ave, Imperial, CA 92251 Phone: 442-283-5049 Fax: 760-283-5089 | |
Mr. Bhuwan Sharma, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 191 W Jennifer Dr, Imperial, CA 92251 Phone: 858-349-6446 |