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Organization
UAP SACRAMENTO, PC
Active
Organization
UAP SACRAMENTO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIRVANA KUNDU M. D. (AUTHORIZED OFFICIAL)
(530) 665-3212
Entity
Organization
Contact information
Practice address
2805 J ST, 200, SACRAMENTO, CA 95816-4307
(916) 231-8755
Mailing address
5 HOLLAND, 101, IRVINE, CA 92618-2566
(949) 588-2190
(949) 588-2199
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245644863
TRICARE
CA
Enumeration date
06/12/2014
Last updated
12/15/2016
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