Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
4860 Y ST STE 1600
SACRAMENTO, CA 95817-2307 US
PECOS Enrolled

Spandana Madhava

Student


Spandana Madhava

Overview

Spandana Madhava is a Student in the SACRAMENTO area. Spandana Madhava primary office location is at 4860 Y ST STE 1600 and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1164162418 and the information was updated approximately 2 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
4860 Y ST STE 1600
SACRAMENTO, CA 95817-2307 US
Phone: (916)-734-3630
Fax:
Practice Mailing Information
747 AVENIDA LEON
SAN MARCOS, CA 95817-2307 US
Phone: (760)-415-7735
Fax:

No Licenses found


No Identifiers found

TaxonomyStatePrimary?
Student - Taxonomy Code 390200000X --Y

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID:
PECOS Individual PAC ID:
Eligible to order/refer Part B Clinical Laboratory and Imaging Yes
Eligible to order/refer Durable Medical Equipment (DME) Yes
Eligible to order/refer Home Health Agency (HHA) Yes
Eligible to order/refer Power Mobility Devices (PMD) Yes