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Padmanabha P Shakkottai

  • Male

Medical Specialty

Professional ID

  • NPI: 1164472346
  • PECOS ID: 3678584893
  • Enrollment ID: I20090126000396
  • Credential(MD, DO, DPM): MD
  • Medical School: University Of Southern California School Of Medicine
  • Medical School Graduation Year: 1999

Hospital Service

  • Hospital CCN1: 050581
  • Business Name (LBN)1: Lakewood Regional Medical Center
  • Hospital CCN2: 050485
  • Business Name (LBN)2: Long Beach Memorial Medical Center
  • Hospital CCN3: 050393
  • Business Name (LBN)3: Pih Hospital - Downey
  • Hospital CCN4: 050551
  • Business Name (LBN)4: Los Alamitos Medical Center

Medical Practices

  • Organization Name: Maged A. Tanios, Md, Inc
  • Group Practice ID assigned by PECOS: 1850359787
  • Number of Group Practice member: 23

Location

  • Address1: 1360 W 6th St
  • Address2: Suite G
  • City: San Pedro
  • State: California
  • Zip Code: 90732
  • Phone Number: (310)832-8939

Medical Practices

  • Organization Name: Arthur F Gelb Medical Corporation
  • Group Practice ID assigned by PECOS: 6709949852
  • Number of Group Practice member: 3

Location

  • Address1: 3650 E S St
  • Address2: Suite 308
  • City: Lakewood
  • State: California
  • Zip Code: 90712
  • Phone Number: (562)633-2275

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR): Yes