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Organization
SARASA KUMAR M.D., INC
Active
Organization
SARASA KUMAR M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARASA KUMAR M.D. (BUSINESS OWNER)
(909) 590-7356
Entity
Organization
Contact information
Practice address
13768 ROSWELL AVE, SUITE 205, CHINO, CA 91710-1401
(909) 590-7356
(909) 548-6871
Mailing address
13768 ROSWELL AVE, SUITE 205, CHINO, CA 91710-1401
(909) 590-7356
(909) 548-6871
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A49540
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A495400
—
CA
01
—
11415033
CAQH
CA
Enumeration date
08/21/2006
Last updated
02/24/2012
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