| Thomas Nelson Mundorff, MD | |
|
2721 Olive Hwy, Ste 12, Oroville, CA 95966 | |
| (530) 533-6061 | |
| (530) 533-4438 |
| Full Name | Thomas Nelson Mundorff |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 2721 Olive Hwy, Oroville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154385383 | NPI | - | NPPES |
| G25438 | Other | CA | STATE LICENSE |
| GR0014101 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G25438 (California) | Primary |
| Entity Name | Orohealth Corporation A Non Profit Healthcare System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013933167 PECOS PAC ID: 4082501192 Enrollment ID: O20040325001703 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Nelson Mundorff, MD 2721 Olive Hwy, Ste 12, Oroville, CA 95966 Ph: (530) 533-6061 | Thomas Nelson Mundorff, MD 2721 Olive Hwy, Ste 12, Oroville, CA 95966 Ph: (530) 533-6061 |
Dr. Khurram Mumtaz, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2450 Oro Dam Blvd E, Oroville, CA 95966 Phone: 530-712-2171 Fax: 530-712-2149 | |
Roy Carl Shannon, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2721 Olive Hwy, Ste 12, Oroville, CA 95966 Phone: 530-533-6061 Fax: 530-533-4438 | |
Joan Marie Harter, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2809 Olive Highway, Suite #320, Oroville, CA 95966 Phone: 530-532-8687 Fax: 530-538-3240 | |
Dr. Masoud Haghi, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2767 Olive Hwy, Oroville, CA 95966 Phone: 646-574-2618 | |
Edna Ku Salinas, MD, PH.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2809 Olive Hwy, Ste 150, Oroville, CA 95966 Phone: 530-532-8180 | |
Miss Linda Lay, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2767 Olive Hwy, Oroville, CA 95966 Phone: 530-533-8500 |