| Sourjya P Misra, MD | |
|
20055 Lake Chabot Rd Ste 310, Castro Valley, CA 94546-5334 | |
| (510) 889-9166 | |
| (510) 889-9923 |
| Full Name | Sourjya P Misra |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 46 Years |
| Location | 20055 Lake Chabot Rd Ste 310, Castro Valley, 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 |
|---|---|---|---|
| 1699706366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | A49141 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eden Medical Center | Castro valley, CA | Hospital |
| St Rose Hospital | Hayward, CA | Hospital |
| Highland Hospital | Oakland, CA | Hospital |
| Entity Name | Chabot Urology Medical Associates A Professional Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679629968 PECOS PAC ID: 4688749005 Enrollment ID: O20080820000401 |
| Mailing Address | Practice Location Address |
|---|---|
| Sourjya P Misra, MD 20055 Lake Chabot Rd Ste 310, Castro Valley, CA 94546-5334 Ph: (510) 889-9166 | Sourjya P Misra, MD 20055 Lake Chabot Rd Ste 310, Castro Valley, CA 94546-5334 Ph: (510) 889-9166 |
Dr. Michael Edward Nickas, Urology Medicare: Accepting Medicare Assignments Practice Location: 20055 Lake Chabot Rd, #100, Castro Valley, CA 94546 Phone: 510-889-0270 Fax: 510-889-8954 | |
Dr. Narayana Venkata Bulusu, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 20055 Lake Chabot Rd, Suite /310, Castro Valley, CA 94546 Phone: 510-889-1700 Fax: 510-889-7170 | |
Dr. Weiwei Xu, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 20130 Lake Chabot Road, Suite 302, Castro Valley, CA 94546 Phone: 510-889-1700 Fax: 510-889-7170 |