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Organization
SUDHA G MADABHUSHI MD INC
Active
Organization
SUDHA G MADABHUSHI MD INC
Active
Other names
ACCLAIM MEDICAL CARE INC
Organization subpart
No
Provider details
NPI number
Authorized official
SUDHA G MADABHUSHI M.D. (PRESIDENT)
(951) 929-6260
Entity
Organization
Contact information
Practice address
304 W LATHAM AVE, HEMET, CA 92543-4106
(951) 925-7170
(951) 925-7027
Mailing address
PO BOX 661, HEMET, CA 92546-0661
(951) 925-7179
(951) 765-2855
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A70292
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0104430
—
CA
Enumeration date
10/03/2006
Last updated
03/15/2011
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