Individual
AIRANI SATHANANTHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
795 E 2ND ST, SUITE 4, POMONA, CA 91766-2007
(909) 706-3779
(909) 865-2599
Mailing address
795 E. SECOND STREET, SUITE 5, POMONA, CA 91766
(909) 865-2565
(909) 865-2955
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
102440
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CQ417Y
MEDICARE NORTHERN CALIFORNIA
CA
01
—
CQ417Z
MEDICARE SOUTHERN CALIFORNIA
CA
Enumeration date
08/08/2006
Last updated
06/13/2017
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