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Individual
SUJATA DAVE NARAYAN
Active
Individual
SUJATA DAVE NARAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A91562
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A743280
—
CA
01
—
00A915620
BLUE SHIELD OF CA
—
01
—
B044
CHAMPUS
—
Enumeration date
09/03/2006
Last updated
04/15/2024
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