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Individual

DR. SHARATH KUMAR ELIAS RENIGUNTALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
265 S ANITA DR, ORANGE, CA 92868-3355
(949) 531-6344
Mailing address
265 S ANITA DR, ORANGE, CA 92868-3355

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A151331
CA
208D00000X
General Practice Physician
Primary
A151331
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/25/2011
Last updated
07/22/2026
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