Kishor Avasarala

M.D. | Pediatric Cardiology | Male

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Complete Profile:

Kishor Avasarala basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Kishor Avasarala
Credential :	M.D.
Gender :	Male

Business Address:

Kishor Avasarala address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	747 52nd St, Cardiology Oakland, CA, 94609-1809 United States
Phone Number :	510-428-3294
Fax Number :	510-428-3381

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1508853011
NPI Entity Type :	Individual
First Enrolment Date :	29 Sep, 2005
Last Updated On :	19 Jun, 2012

Medicare Participation:

Kishor Avasarala participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	3173503935
Medicare Enrollment ID :	I20110602000638
Primary Specialty :	Cardiovascular Disease (cardiology)
Medical School :	Other
Graduation Year :	1985
Accepts Medicare?	Yes. Kishor Avasarala accepts medicare insurance.

Group Practice Association:

Kishor Avasarala is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Kishor Avasarala is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Ucsf Pediatrics Associates	6204749112	80	505 Parnassus Ave San Francisco, CA - 941432204 Ph: 4154761000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kishor Avasarala are as mentioned. Primary taxonomy code for Kishor Avasarala, M.D. is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	Yes	A63007	CA

Legacy Identifiers:

Other legacy medical identifiers of Kishor Avasarala such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
00A630070	MEDICAID	CA

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	747 52nd St, Cardiology Oakland, CA, 94609-1809 United States
Phone Number :	510-428-3294
Fax Number :	510-428-3381

Business Location:

Patients can refer following map for directions to Kishor Avasarala practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.