Abid Christopher Mogannam (NPI# 1598056483, PAC ID# 6002163672) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1598056483 |
| PAC ID by PECOS | 6002163672 |
| Professional Enrollment ID | I20180727002360 |
| Full Name | Abid Christopher Mogannam |
| Organization Legal Name | GENERAL VASCULAR SURGERY MEDICAL GROUP, INC. |
| Address |
13851 E 14th Suite 202 San Leandro CA 94578-2631 |
| Phone Number | 5103474700 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | VASCULAR SURGERY |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 1951390137 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050773 | SAN LEANDRO HOSPITAL |
| 050488 | EDEN MEDICAL CENTER |
| 050320 | HIGHLAND HOSPITAL |
| 050002 | ST ROSE HOSPITAL |
| 050043 | ALTA BATES SUMMIT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 13851 E 14th, Suite 202, San Leandro, CA 94578-2631 | 5103474700 | GENERAL VASCULAR SURGERY MEDICAL GROUP, INC. |
| Organization Legal Name | GENERAL VASCULAR SURGERY MEDICAL GROUP, INC. |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donato Stinghen | General Surgery | General Vascular Surgery Medical Group, Inc. | 815 Atlantic Ave, Suite 100, Alameda, CA 94501-2298 |
| Robert Oneil Gingery | Vascular Surgery | General Vascular Surgery Medical Group, Inc. | 13851 E 14th, Suite 202, San Leandro, CA 94578-2631 |
| Lamont D Paxton | Vascular Surgery | General Vascular Surgery Medical Group, Inc. | 2070 Clinton Ave, Suite 3, Alameda, CA 94501-4399 |
| Jennifer Kam | Physician Assistant | General Vascular Surgery Medical Group, Inc. | 2070 Clinton Ave, Suite 3, Alameda, CA 94501-4399 |
| Michael David Ingegno | Vascular Surgery | General Vascular Surgery Medical Group, Inc. | 13851 E 14th, Suite 202, San Leandro, CA 94578-2631 |
| Varinder Singh Phangureh | Vascular Surgery | General Vascular Surgery Medical Group, Inc. | 13851 E 14th, Suite 202, San Leandro, CA 94578-2631 |
| Ramy M Moharram | Physician Assistant | General Vascular Surgery Medical Group, Inc. | 2070 Clinton Ave, Suite 3, Alameda, CA 94501-4399 |
| Street Address |
13851 E 14TH SUITE 202 |
| City | SAN LEANDRO |
| State | CA |
| Zip | 94578-2631 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Oneil Gingery | Vascular Surgery | General Vascular Surgery Medical Group, Inc. | 13851 E 14th, Suite 202, San Leandro, CA 94578-2631 |
| Michael David Ingegno | Vascular Surgery | General Vascular Surgery Medical Group, Inc. | 13851 E 14th, Suite 202, San Leandro, CA 94578-2631 |
| Varinder Singh Phangureh | Vascular Surgery | General Vascular Surgery Medical Group, Inc. | 13851 E 14th, Suite 202, San Leandro, CA 94578-2631 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John A Fordham | Psychiatry | Alameda Health System | 2060 Fairmont Dr, San Leandro, CA 94578-1001 |
| Japsharan Gill | Psychiatry | Alameda Health System | 2060 Fairmont Dr, San Leandro, CA 94578-1001 |
| Jamie L Lacsina | Psychiatry | Alameda Health System | 2060 Fairmont Dr, San Leandro, CA 94578-1001 |
| Shabeg S Gondara | Psychiatry | Alameda Health System | 2060 Fairmont Dr, San Leandro, CA 94578-1001 |
| Karen T Marcus | Psychiatry | Alameda Health System | 15400 Foothill Blvd, San Leandro, CA 94578-1009 |
| I Fei Chen | Family Practice | Alameda Health System | 15400 Foothill Blvd H, San Leandro, CA 94578-1009 |
| Emma B Shak | Internal Medicine | Alameda Health System | 15400 Foothill Blvd, San Leandro, CA 94578-1009 |
| Mary Ann S Gelera | Nurse Practitioner | Alameda Health System | 15400 Foothill Blvd, San Leandro, CA 94578-1009 |
| Denise S Tukenmez | Obstetrics/gynecology | Alameda Health System | 15400 Foothill Blvd, San Leandro, CA 94578-1009 |
| Reena J Cho | Nurse Practitioner | Alameda Health System | 15400 Foothill Blvd, San Leandro, CA 94578-1009 |
| Find all physicians in zip 94578 | |||
| City | SAN LEANDRO |
| Zip Code | 94578 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | SAN LEANDRO + VASCULAR SURGERY |
Please comment or provide details below to improve the information on Abid Christopher Mogannam.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.