| Shivani Reddy Kandukuri, MD | |
|
101 The City Dr S, Orange, CA 92868-3201 | |
| (714) 456-8888 | |
| Not Available |
| Full Name | Shivani Reddy Kandukuri |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 18 Years |
| Location | 101 The City Dr S, Orange, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265746994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZC0500X | Pathology - Cytopathology | A127205 (California) | Secondary |
| 207ZP0101X | Pathology - Anatomic Pathology | A127205 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Keck Hospital Of Usc | Los angeles, CA | Hospital |
| University Of California Irvine Medical Center | Orange, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Usc Care Medical Group Inc | 0446157747 | 1215 |
| Regents Of The University Of California | 1951201185 | 34 |
| Entity Name | Cedars-sinai Medical Care Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316984388 PECOS PAC ID: 0941106645 Enrollment ID: O20040202000464 |
| Entity Name | Usc Care Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412 |
| Mailing Address | Practice Location Address |
|---|---|
| Shivani Reddy Kandukuri, MD 200 S Manchester Ave, Orange, CA 92868-3217 Ph: (174) 456-8888 | Shivani Reddy Kandukuri, MD 101 The City Dr S, Orange, CA 92868-3201 Ph: (714) 456-8888 |
Qun Wang, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S Bldg 1, Orange, CA 92868 Phone: 714-456-6141 | |
Maryam Ahmadi, MD Pathology Medicare: Medicare Enrolled Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-8888 | |
Richard S Newman, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: Uci Medical Center, 101 The City Drive South, Orange, CA 92868 Phone: 714-456-2986 | |
Arjun Tudi Reddy, MD, MBA Pathology Medicare: Not Enrolled in Medicare Practice Location: 101 The City Dr S Rm 3003, Orange, CA 92868 Phone: 714-506-0737 | |
Xiaohui S Zhao, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: Uci Medical Center, 101 The City Drive South, Orange, CA 92868 Phone: 714-456-2986 | |
Dr. Cassiana Euzebio Bittencourt, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-5439 | |
Dr. Thomas Joseph Lawton, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-880-7812 |