# MIND & BODY TREATMENT AND RESEARCH INSTITUTE, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740689694
- **Authorized official:** DR. RAJAGOPAL KEERTHY SUNDER M.D. (OWNER)
- **Authorized official phone:** (510) 685-2022

## Contact information

- **Practice address:** 5700 DIVISION ST, 200, RIVERSIDE, CA 92506-3257
- **Practice address phone:** (951) 300-4905
- **Mailing address:** 3060 EL CERRITO PLZ, SUITE 266, EL CERRITO, CA 94530-4011
- **Mailing address phone:** (510) 685-2022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | A94223 | CA | Yes |

## Other

- **Enumeration date:** 08/16/2014
- **Last updated:** 02/17/2016