| Michael Kandola, FNP | |
|
3016 Bridgestone Ln, Modesto, CA 95355-7982 | |
| (209) 402-3034 | |
| Not Available |
| Full Name | Michael Kandola |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 3016 Bridgestone Ln, 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 |
|---|---|---|---|
| 1184299109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NP95017371 (California) | Primary |
| Entity Name | Krishnamoorthi M. D. Inc., A Professional Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285785154 PECOS PAC ID: 1153323324 Enrollment ID: O20070330000427 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Kandola, FNP 3016 Bridgestone Ln, Modesto, CA 95355-7982 Ph: (209) 402-3034 | Michael Kandola, FNP 3016 Bridgestone Ln, Modesto, CA 95355-7982 Ph: (209) 402-3034 |
Anissa Brown, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 Standiford Ave, Modesto, CA 95350 Phone: 209-676-3069 | |
Nameeta Heer, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1316 Celeste Dr, Modesto, CA 95355 Phone: 209-571-1055 | |
Mrs. Lois Elaine Lewis, RN NURSE PRACTITIONE Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 205 W Granger Ave, Modesto, CA 95350 Phone: 209-579-9930 Fax: 209-579-9941 | |
Ms. Margaret Baker, FNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1448 Florida Ave, Modesto, CA 95350 Phone: 209-523-1884 Fax: 209-523-2566 | |
Ms. Fantine Warda, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 Coffee Rd, Modesto, CA 95355 Phone: 209-526-4500 Fax: 209-572-7901 | |
Shararah Aziz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 Standiford Ave, Modesto, CA 95350 Phone: 209-676-3069 | |
Sarah Griffiths, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1801 Tully Rd Ste F, Modesto, CA 95350 Phone: 209-722-4842 Fax: 877-435-6573 |