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Organization

NIVANO CARE MEDICAL GROUP INC

Active
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Organization

NIVANO CARE MEDICAL GROUP INC

Active
Other names
Nivano Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VENU KONDLE (CHAIRMAN/CEO)
(530) 300-3074
Entity
Organization

Contact information

Practice address
729 SUNRISE AVE STE 601, ROSEVILLE, CA 95661-4542
(916) 783-7118
Mailing address
3229 CAMINITO AVE, YUBA CITY, CA 95991-9705
(530) 300-3074

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A102853
CA
207R00000X
Internal Medicine Physician
Primary
C55196
CA
207RN0300X
Nephrology Physician
A73939
CA
364SF0001X
Family Health Clinical Nurse Specialist
C55196
CA

Other

Enumeration date
07/10/2014
Last updated
09/12/2014
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