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Organization
SANDEEP M. KUNWAR, M.D., INC.
Active
Organization
SANDEEP M. KUNWAR, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDEEP M. KUNWAR M.D. (PRESIDENT)
(510) 438-9553
Entity
Organization
Contact information
Practice address
39500 FREMONT BLVD, SUITE 100, FREMONT, CA 94538-2119
(510) 438-9553
(510) 438-9262
Mailing address
39500 FREMONT BLVD, SUITE 100, FREMONT, CA 94538-2119
(510) 438-9553
(510) 438-9262
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G81422
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G814220
—
CA
01
—
ZZZ67026Z
BLUE SHIELD GRP #
CA
Enumeration date
08/19/2006
Last updated
08/23/2007
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