| Shoba Rao, MD | |
|
1305 W Arrow Hwy Ste 104, San Dimas, CA 91773-2337 | |
| (909) 394-9004 | |
| Not Available |
| Full Name | Shoba Rao |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1305 W Arrow Hwy Ste 104, San Dimas, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336301258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A116046 (California) | Primary |
| Entity Name | Childrens Hospital Los Angeles Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265530653 PECOS PAC ID: 0143126920 Enrollment ID: O20031211000522 |
| Entity Name | Emergency Medicine Specialists Of Orange County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740214733 PECOS PAC ID: 0840185005 Enrollment ID: O20040217000695 |
| Entity Name | Intercommunity Emergency Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871535286 PECOS PAC ID: 7911892534 Enrollment ID: O20040708000780 |
| Entity Name | Emanate Health Medical Care Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467195073 PECOS PAC ID: 9830544980 Enrollment ID: O20231011003976 |
| Mailing Address | Practice Location Address |
|---|---|
| Shoba Rao, MD 801 S Chevy Chase Dr, #20, Glendale, CA 91205-4431 Ph: (818) 637-7980 | Shoba Rao, MD 1305 W Arrow Hwy Ste 104, San Dimas, CA 91773-2337 Ph: (909) 394-9004 |
Praful H Shah, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1330 W Covina Blvd Suite 106, San Dimas, CA 91773 Phone: 909-599-6876 Fax: 909-592-9787 | |
Miss Francoise M Rizk, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 721 Avenida Bernardo, Francoise Rizk, San Dimas, CA 91773 Phone: 909-599-6421 Fax: 909-599-1064 | |
Michael G Madanat, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1330 W Covina Blvd, Suite 106, San Dimas, CA 91773 Phone: 626-963-7675 | |
George M Madanat, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1330 W Covina Blvd Suite 106, San Dimas, CA 91773 Phone: 909-599-6876 Fax: 909-592-9787 |