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Organization
HAROLD S. BUDHRAM, MD, INC.
Active
Organization
HAROLD S. BUDHRAM, MD, INC.
Active
Other names
Harold S. Budhram, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD SHAMNARINE BUDHRAM M.D. (PRESIDENT)
(530) 275-5421
Entity
Organization
Contact information
Practice address
5145 SHASTA DAM BLVD, SHASTA LAKE, CA 96019-9403
(530) 275-5421
(530) 275-5156
Mailing address
5145 SHASTA DAM BLVD, SHASTA LAKE, CA 96019-9403
(530) 275-5421
(530) 275-5156
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G319730
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHM53954F
—
CA
Enumeration date
02/01/2010
Last updated
05/22/2012
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