# MD PARTNERS IPA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174360606
- **Authorized official:** MR. KULDIP S GILL M.D. (PRESIDENTCEO)
- **Authorized official phone:** (530) 263-5349

## Contact information

- **Practice address:** 280 SIERRA COLLEGE DR, STE \#205, GRASS VALLEY, CA 95945-5726
- **Practice address phone:** (657) 217-4500
- **Practice address fax:** (657) 206-3375
- **Mailing address:** 280 SIERRA COLLEGE DR, STE \#205, GRASS VALLEY, CA 95945-5726
- **Mailing address phone:** (657) 217-4500
- **Mailing address fax:** (657) 206-3375

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 07/11/2024
- **Last updated:** 07/11/2024