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Individual

SUNDARARAJAN SRIKANTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1866 N. ORANGE GROVE AVE SUITE 202, POMONA, CA 91767-3031
(909) 623-8796
(909) 623-3076
Mailing address
840 TOWNE CENTER DR, POMONA, CA 91767-5900
(909) 398-1550
(909) 398-1488

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A79236
CA
207RC0000X
Cardiovascular Disease Physician
Primary
A79236
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A792360
CA
Enumeration date
08/29/2006
Last updated
10/22/2018
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