| Dr Prabhakara Rao Kavipurapu, MD, PHD | |
|
1501 Violet St, Colton, CA 92324-1603 | |
| (909) 966-4910 | |
| (909) 966-4910 |
| Full Name | Dr Prabhakara Rao Kavipurapu |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1501 Violet St, Colton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326116799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A50693 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Entity Name | Regents Of The University Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811255060 PECOS PAC ID: 8527223304 Enrollment ID: O20120628000360 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Prabhakara Rao Kavipurapu, MD, PHD Po Box 3938, Fontana, CA 92334-3938 Ph: () - | Dr Prabhakara Rao Kavipurapu, MD, PHD 1501 Violet St, Colton, CA 92324-1603 Ph: (909) 966-4910 |
Carolyn M Doherty, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Mob Suite 308, Colton, CA 92324 Phone: 909-580-3353 Fax: 909-580-1363 | |
Dr. Febbis Balinos, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Arrowhead Family Medical Group, Colton, CA 92324 Phone: 909-580-3370 | |
Carol Hyeun Lee, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 400 N. Pepper Avenue, Colton, CA 92324 Phone: 909-580-1400 | |
Ms. Heather Bohn, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper, Colton, CA 92324 Phone: 909-580-3366 Fax: 909-580-3332 | |
Navkiran Kaur Bains, MD, MPH Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave Ste 301, Colton, CA 92324 Phone: 909-580-3366 | |
Christina Sugirtharaj, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3366 | |
Dr. Ryan Bradley Estacio Ortizo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 E Cooley Dr, Colton, CA 92324 Phone: 909-370-4100 |