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Organization
SIERRA VISTA HOSPITAL
Active
Organization
SIERRA VISTA HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANANTH SHANMUGAM (PHYSICIAN)
(916) 452-6682
Entity
Organization
Contact information
Practice address
8250 CALVINE RD, STE C165, SACRAMENTO, CA 95828
(916) 452-6682
Mailing address
3108 FULTON AVE, STE 2, SACRAMENTO, CA 95821
(916) 452-6682
(916) 452-6683
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A905790
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A905790
—
CA
Enumeration date
12/26/2006
Last updated
08/22/2020
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