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Organization
SHAMALA MD PHYSICIAN PROFESSIONAL CORPORATION
Active
Organization
SHAMALA MD PHYSICIAN PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAMALA MOHANASUNDARAM M.D. (M.D.)
(408) 370-0200
Entity
Organization
Contact information
Practice address
555 KNOWLES DRIVE, SUITE 109, LOS GATOS, CA 95032
(408) 370-0200
(408) 370-0202
Mailing address
555 KNOWLES DRIVE, SUITE 109, LOS GATOS, CA 95032
(408) 370-0200
(408) 370-0202
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A112811
CA
Other
Enumeration date
04/12/2011
Last updated
09/30/2015
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