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Organization
VIKRAM R PODDUTURU MD INC
Active
Organization
VIKRAM R PODDUTURU MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVDEEP SANDHU (BILLER)
(530) 342-7530
Entity
Organization
Contact information
Practice address
2592 CLUBHOUSE DR W, ROCKLIN, CA 95765-5703
(215) 514-4612
Mailing address
2592 CLUBHOUSE DR W, ROCKLIN, CA 95765-5703
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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