| Neelufar Ghaderi, MD | |
|
2500 Milvia St, Berkeley, CA 94704-2636 | |
| (510) 204-5600 | |
| (510) 506-7722 |
| Full Name | Neelufar Ghaderi |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2500 Milvia St, Berkeley, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295002079 | NPI | - | NPPES |
| A116807 | Other | CA | STATE MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 1004796 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
| Mailing Address | Practice Location Address |
|---|---|
| Neelufar Ghaderi, MD 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (510) 506-7722 | Neelufar Ghaderi, MD 2500 Milvia St, Berkeley, CA 94704-2636 Ph: (510) 204-5600 |
Dr. Jaleh Niazi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 900 Colusa Ave Ste 204, Berkeley, CA 94707 Phone: 510-465-4445 | |
Courtney Wedl Pickering, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2999 Regent St Suite 325, Berkeley, CA 94705 Phone: 925-438-1100 Fax: 925-254-1054 | |
Lisa S Kalar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1650 Walnut St, Berkeley, CA 94709 Phone: 510-848-2566 | |
Jennifer A Miller, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2999 Regent St Ste 325, Berkeley, CA 94705 Phone: 925-438-1110 Fax: 510-841-5650 | |
Gilbert Duritz, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 36 El Camino Real, Berkeley, CA 94705 Phone: 510-848-4581 | |
Olivia Lang, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1650 Walnut St, Berkeley, CA 94709 Phone: 510-848-2566 | |
Mrs. Lauren Katharine Ebe Bouton, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2999 Regent Street Suite 325, Berkeley, CA 94705 Phone: 925-438-1100 |