Mudambi, Kiran
Mudambi, Kiran is an individual health care provider with primary practice located at 2516 Stockton Blvd , Sacramento CA 95817-2208. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Mudambi, Kiran can be contacted via phone (650) 267-0562.Contact Information
Primary practice address
2516 Stockton Blvd
Sacramento CA 95817-2208
Phone: (650) 267-0562
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | MD60913136 | Washington |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1942649561 |
|---|---|
| LBN Legal business name | Mudambi, Kiran |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2013 |
| Last updated | Sep 5th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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