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Organization
R SABARATNAM MD INC
Active
Organization
R SABARATNAM MD INC
Active
Other names
Granada Family Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
SEKILAR RUDRA SABARATNAM MD (PRESIDENT)
(818) 363-3121
Entity
Organization
Contact information
Practice address
17701 CHATSWORTH ST, GRANADA HILLS, CA 91344-5604
(818) 363-3121
(818) 366-1728
Mailing address
17701 CHATSWORTH ST, GRANADA HILLS, CA 91344-5604
(818) 363-3121
(818) 366-1728
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A29353
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0007030
—
CA
Enumeration date
01/02/2007
Last updated
08/22/2020
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