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Organization

SUMMER T MIAN

Active
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Organization

SUMMER T MIAN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUMMER MIAN (OWNER/SONOGRAPHER)
(916) 793-8131
Entity
Organization

Contact information

Practice address
3013 EL CAMINO AVE STE A, SACRAMENTO, CA 95821-6063
(916) 891-5980
Mailing address
5625 MANZANITA AVE APT 31, CARMICHAEL, CA 95608-6514

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
NULL
2085B0100X
Body Imaging Physician
Primary
—
—

Other

Enumeration date
09/20/2021
Last updated
04/26/2022
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