Shanmugam, Nataraj
Shanmugam, Nataraj is an sole proprietor health care provider with primary practice located at 3000 Q St Fl 1 , Sacramento CA 95816-7058. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Shanmugam, Nataraj can be contacted via phone (916) 733-3301.Contact Information
Primary practice address
3000 Q St Fl 1
Sacramento CA 95816-7058
Phone: (916) 733-3301
Fax: (916) 281-3882
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | A115371 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 42869 | Arizona |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A115371 | California |
Profile Details
| NPI number | 1659535102 |
|---|---|
| LBN Legal business name | Shanmugam, Nataraj |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2008 |
| Last updated | Feb 11th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659535102 | NPPES |
| California | Other | A115371 | MEDICAL LICENSE |
| California | Other | Z137927 | MEDICAL LICENSE |
| California | MEDICAID | 524526 | MEDICAL LICENSE |
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