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Organization

MIRAMONTE INTERNAL MEDICINE, INC.

Active
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Organization

MIRAMONTE INTERNAL MEDICINE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PRADIP KUMAR RUSTAGI M.D. (PRESIDENT)
(650) 988-8011
Entity
Organization

Contact information

Practice address
1174 CASTRO ST, SUITE 275, MOUNTAIN VIEW, CA 94040-2568
(650) 988-8011
(650) 988-8012
Mailing address
1174 CASTRO ST, SUITE 275, MOUNTAIN VIEW, CA 94040-2568
(650) 988-8011
(650) 988-8012

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G83670
CA

Other

Enumeration date
08/12/2013
Last updated
08/12/2013
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