| Dr Veena Mysore, MD | |
|
25828 Redlands Blvd Ste 102, Redlands, CA 92373-8451 | |
| (909) 558-6600 | |
| Not Available |
| Full Name | Dr Veena Mysore |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 25828 Redlands Blvd Ste 102, Redlands, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053318089 | NPI | - | NPPES |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 |
| Entity Name | Privia Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Veena Mysore, MD File #54701, Los Angeles, CA 90074-4701 Ph: (909) 651-4300 | Dr Veena Mysore, MD 25828 Redlands Blvd Ste 102, Redlands, CA 92373-8451 Ph: (909) 558-6600 |
Salma Mohammadi Green, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1467 Ford St Ste 201, Redlands, CA 92373 Phone: 909-206-2612 | |
Dr. Katrina Carter, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1600 E Citrus Ave, Redlands, CA 92374 Phone: 909-794-3682 | |
Calvin G Hagglov, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25828 Redlands Blvd Ste 102, Redlands, CA 92373 Phone: 909-558-6600 | |
Grace Marie Hecker, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1910 Orange Tree Ln Ste 344, Redlands, CA 92374 Phone: 909-792-1388 Fax: 097-487-9259 | |
Shantharam Pai, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 511 Amigos Dr Ste C, Redlands, CA 92373 Phone: 909-799-7111 Fax: 909-498-5154 | |
Horst R Rudrich, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 255 Terracina Blvd, Ste. 105, Redlands, CA 92373 Phone: 909-793-0323 Fax: 909-793-9173 |