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Organization
BRIJESH KADAM MD INC.
Active
Organization
BRIJESH KADAM MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIJESH KADAM MD (PRESIDENT)
(305) 431-1652
Entity
Organization
Contact information
Practice address
1253 W I ST, LOS BANOS, CA 93635-3930
(209) 710-6333
Mailing address
PO BOX 2626, LOS BANOS, CA 93635-1726
(305) 431-1652
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457545832
NPI
—
01
—
A109208
CALIFORNIA MEDICAL BOARD
CA
Enumeration date
09/11/2017
Last updated
03/07/2023
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