# SUDIN VITTAL MD ENDOSCOPY CENTER INC

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

## Provider details

- **NPI number:** 1982782231
- **Authorized official:** DR. SUDIN VITTAL M.D. (OWNER)
- **Authorized official phone:** (408) 926-2182

## Contact information

- **Practice address:** 150 N JACKSON AVENUE, SUITE 107, SAN JOSE, CA 95116-1908
- **Practice address phone:** (408) 926-2182
- **Practice address fax:** (408) 926-8370
- **Mailing address:** 150 N JACKSON AVENUE, SUITE 107, SAN JOSE, CA 95116-1908
- **Mailing address phone:** (408) 926-2182
- **Mailing address fax:** (408) 926-8370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | A252860 | CA | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 05/10/2017