| Takeshi Irie, MD, PHD | |
|
2500 Merced St, Kaiser Permanente San Leandro Medical Center, San Leandro, CA 94577-4201 | |
| (510) 454-1000 | |
| Not Available |
| Full Name | Takeshi Irie |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 16 Years |
| Location | 2500 Merced St, San Leandro, 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 |
|---|---|---|---|
| 1275762304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 268454 (New York) | Secondary |
| 207L00000X | Anesthesiology | C192019 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Anesthesiology Group | 8729977129 | 274 |
| Entity Name | Memorial Anesthesiology Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467423020 PECOS PAC ID: 8729977129 Enrollment ID: O20040313000040 |
| Mailing Address | Practice Location Address |
|---|---|
| Takeshi Irie, MD, PHD 2500 Merced St, San Leandro, CA 94577-4201 Ph: (510) 454-1000 | Takeshi Irie, MD, PHD 2500 Merced St, Kaiser Permanente San Leandro Medical Center, San Leandro, CA 94577-4201 Ph: (510) 454-1000 |
Dr. Shiena Sharma, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 | |
Dr. Paul Gillbanks, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 15035 E 14th St, San Leandro, CA 94578 Phone: 510-276-2800 Fax: 510-276-2890 | |
Ms. Solina Tith, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 562-221-6892 | |
Jayaprada Achanta, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 | |
Sheena Sawant, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 | |
Dr. Toufan Razi, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2410 Merced St, San Leandro, CA 94577 Phone: 510-278-2700 Fax: 510-278-2772 | |
Dr. Hooman Darien Behravan, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 13690 E 14th St, Suite 200, San Leandro, CA 94578 Phone: 510-614-9200 Fax: 510-614-9203 |