| Thirukkanankudi V Viswanathan, MD | |
|
520 West 'i' Street, Los Banos, CA 93635-3419 | |
| (209) 826-0591 | |
| Not Available |
| Full Name | Thirukkanankudi V Viswanathan |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 520 West 'i' Street, Los Banos, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700994373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A51260 (California) | Primary |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
| Mailing Address | Practice Location Address |
|---|---|
| Thirukkanankudi V Viswanathan, MD 2100 Powell St Ste 900, Emeryville, CA 94608-1844 Ph: (888) 556-5619 | Thirukkanankudi V Viswanathan, MD 520 West 'i' Street, Los Banos, CA 93635-3419 Ph: (209) 826-0591 |
Robert William Thrailkill, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 West 'i' Street, Los Banos, CA 93635 Phone: 209-826-0591 | |
Byron F Carcelen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 W I St, Los Banos, CA 93635 Phone: 209-826-0591 | |
Paul P. Iwai, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 520 West 'i' Street, Los Banos, CA 93635 Phone: 209-826-0591 | |
Phillip Silverstein, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 520 I St, Los Banos, CA 93635 Phone: 209-826-0591 |