Organization
SETURAM PANDURANGI MD A PROFESSION CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SETURAM PANDURANGI M.D (PRESIDENT)
(707) 425-2002
Entity
Organization
Contact information
Practice address
1620 PENNSYLVANIA AVE, # B, FAIRFIELD, CA 94533-3551
(707) 425-2002
(707) 425-2011
Mailing address
1620 PENNSYLVANIA AVE, # B, FAIRFIELD, CA 94533-3551
(707) 425-2002
(707) 425-2011
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
00A313120
CA
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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