| Tamika Mozina Carter, DO | |
|
600 Coffee Rd, Modesto, CA 95355-4201 | |
| (209) 521-6097 | |
| Not Available |
| Full Name | Tamika Mozina Carter |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Location | 600 Coffee Rd, Modesto, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841429966 | NPI | - | NPPES |
| 125056027 | Other | IL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 20A12408 (California) | Primary |
| 207R00000X | Internal Medicine | 20A12408 (California) | Secondary |
| Entity Name | Southern California Hospitalist Network Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790880458 PECOS PAC ID: 8921990110 Enrollment ID: O20040324001749 |
| Mailing Address | Practice Location Address |
|---|---|
| Tamika Mozina Carter, DO 600 Coffee Rd, Modesto, CA 95355-4201 Ph: (209) 521-6097 | Tamika Mozina Carter, DO 600 Coffee Rd, Modesto, CA 95355-4201 Ph: (209) 521-6097 |
Radha Chirumamilla, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211 | |
Audrey Oen Tio, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211 | |
Alexander L Johnson, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211 | |
Dr. Kyaw Yu San, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-569-7408 Fax: 209-491-7587 | |
Yamin Aung, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-569-7408 | |
Seth Ackuayi, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-557-1000 | |
Nahrin G. Khoshaba, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-557-1000 |