| Viswanathan Gajendran, MD | |
| 1600 Eureka Rd, Roseville, CA 95661-3027 | |
| (916) 784-4000 | |
| Not Available | 
| Full Name | Viswanathan Gajendran | 
|---|---|
| Gender | Male | 
| Speciality | Urology | 
| Location | 1600 Eureka Rd, Roseville, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1053499731 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208800000X | Urology | A69056 (California) | Primary | 
| Entity Name | Permanente Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 | 
| Entity Name | Regents Of The Univ Of Ca | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1013906973 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892 | 
| Entity Name | Regents Of The University Of California | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1952998973 PECOS PAC ID: 8022922475 Enrollment ID: O20031118001149 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Viswanathan Gajendran, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3429 Ph: (510) 625-6262 | Viswanathan Gajendran, MD 1600 Eureka Rd, Roseville, CA 95661-3027 Ph: (916) 784-4000 | 
| Dr. Vesna Ivancic Cochell, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 | |
| Dr. Hossein Mirheydar, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3 Medical Plaza Dr, Ste 250, Roseville, CA 95661 Phone: 916-797-4720 | |
| Mr. Abdo J. Faddoul, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 2 Medical Plaza, Suite 285, Roseville, CA 95661 Phone: 916-786-3100 Fax: 916-786-9433 | |
| George W. Chiu, MD Urology Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 | |
| John E Gould, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1130 Conroy Ln, Suite 100, Roseville, CA 95661 Phone: 916-773-5529 Fax: 916-773-0430 | |
| Dr. Carolina Raveau Alvayay, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3 Medical Plaza Dr, Suite 250, Roseville, CA 95661 Phone: 916-797-4719 Fax: 916-797-4721 |