| Roohi Shahjahan Bakhath, MD | |
|
1510 Florida Ave Ste B, Modesto, CA 95350-4437 | |
| (866) 682-4842 | |
| (877) 435-6573 |
| Full Name | Roohi Shahjahan Bakhath |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1510 Florida Ave Ste B, Modesto, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871088799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A174575 (California) | Primary |
| Entity Name | Golden Valley Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356445753 PECOS PAC ID: 4183527187 Enrollment ID: O20040128000641 |
| Mailing Address | Practice Location Address |
|---|---|
| Roohi Shahjahan Bakhath, MD 737 W Childs Ave, Merced, CA 95341-6805 Ph: (866) 682-4842 | Roohi Shahjahan Bakhath, MD 1510 Florida Ave Ste B, Modesto, CA 95350-4437 Ph: (866) 682-4842 |
Charnjeet K Randhawa, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-735-5000 Fax: 559-459-4569 | |
Chaithra Sreenath, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 401 Paradise Rd Ste E102, Modesto, CA 95351 Phone: 209-558-4000 | |
Kishore Kumar Gaddam, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 1510 Florida Ave, Modesto, CA 95350 Phone: 209-722-4842 | |
Mohamed Ashkar, Pediatrics Medicare: Medicare Enrolled Practice Location: 1510 Florida Ave, Modesto, CA 95350 Phone: 209-722-4842 | |
Lee T Donohue, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-569-7408 | |
Angela I Lin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1144 Coffee Rd, Modesto, CA 95355 Phone: 209-550-4744 | |
Miss Donna Silva, NP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4120 Prescott Rd, Modesto, CA 95356 Phone: 209-544-7300 Fax: 209-544-7323 |