| Rajeev Lal Tandon, MD | |
|
2410 Samaritan Dr, Suite 102, San Jose, CA 95124-3909 | |
| (408) 371-0728 | |
| (408) 371-1164 |
| Full Name | Rajeev Lal Tandon |
|---|---|
| Gender | Male |
| Speciality | Interventional Radiology |
| Experience | 28 Years |
| Location | 2410 Samaritan Dr, San Jose, 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 |
|---|---|---|---|
| 1053321471 | NPI | - | NPPES |
| 00A677640 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | A67764 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Good Samaritan Hospital | San jose, CA | Hospital |
| Santa Clara Valley Medical Center | San jose, CA | Hospital |
| El Camino Hospital | Mountain view, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Omnirad Medical Group, Inc. | 6507049350 | 3 |
| Entity Name | Polyxene Gazetas Kokinos |
|---|---|
| Entity Type | Practitioner - Vascular Surgery |
| Entity Identifiers | NPI Number: 1679671259 PECOS PAC ID: 5991728198 Enrollment ID: I20060112000913 |
| Entity Name | Omnirad Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649596792 PECOS PAC ID: 6507049350 Enrollment ID: O20110331000777 |
| Mailing Address | Practice Location Address |
|---|---|
| Rajeev Lal Tandon, MD 2410 Samaritan Dr, Suite 101, San Jose, CA 95124-3909 Ph: (408) 371-0390 | Rajeev Lal Tandon, MD 2410 Samaritan Dr, Suite 102, San Jose, CA 95124-3909 Ph: (408) 371-0728 |
Dr. Christopher John Govea, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 2365 Quimby Rd Ste 100, San Jose, CA 95122 Phone: 669-888-0001 Fax: 669-888-0551 | |
Andrea L. Baron, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 260 International Cir, San Jose, CA 95119 Phone: 408-972-7000 | |
Dienhong Tran, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 751 S Bascom Ave, San Jose, CA 95128 Phone: 408-885-6370 | |
Dr. Niv E Decalo, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 225 N Jackson Ave, San Jose, CA 95116 Phone: 408-259-5000 | |
Dr. Cam Tran, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 751 S Bascom Ave, San Jose, CA 95128 Phone: 408-885-6370 Fax: 408-885-6360 | |
Dr. Monica Anna Zaucha, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 751 S Bascom Ave, Di Dept, San Jose, CA 95128 Phone: 408-885-5000 |