Individual
DR. RADHIKA NANDUR BUKKAPATNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8110 LAGUNA BLVD, ELK GROVE, CA 95758-7904
(916) 683-3950
(916) 683-3970
Mailing address
8110 LAGUNA BLVD, ELK GROVE, CA 95758-7904
(916) 683-3950
(916) 683-3970
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A77931
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A779310
—
CA
Enumeration date
11/23/2005
Last updated
01/21/2009
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