| Sailaja Kalidasu, | |
|
1414 N California St Ste C, Stockton, CA 95202-1515 | |
| (209) 953-3700 | |
| Not Available |
| Full Name | Sailaja Kalidasu |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 1414 N California St Ste C, Stockton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861805756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A166467 (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 | County of San Joaquin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801830583 PECOS PAC ID: 6002703436 Enrollment ID: O20040301001287 |
| Mailing Address | Practice Location Address |
|---|---|
| Sailaja Kalidasu, 10100 Trinity Pkwy Ste 100, Stockton, CA 95219-7239 Ph: (209) 953-3700 | Sailaja Kalidasu, 1414 N California St Ste C, Stockton, CA 95202-1515 Ph: (209) 953-3700 |
Jasmine Hundal, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7210 Murray Dr, Stockton, CA 95210 Phone: 209-751-1919 |
Abhinandan Anand Raman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1805 N California St Ste 201, Stockton, CA 95204 Phone: 209-645-3771 |
David C Lim, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 E Harding Way, Suite D, Stockton, CA 95204 Phone: 209-944-5750 |
Xing-jian Lu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000 |
Kwabena Opoku-mensah Adubofour, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2524 E Main St, Stockton, CA 95205 Phone: 800-249-9497 Fax: 800-249-9497 |
Dr. Ronald A Kass, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 E March Ln Ste C310, Stockton, CA 95210 Phone: 209-465-5731 Fax: 209-465-0230 |
Issa M. Fakhouri, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000 |