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Individual

HIMANI NATU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1400 EMELINE AVE, SANTA CRUZ, CA 95060-1976
(831) 454-4170
(831) 454-4663
Mailing address
1400 EMELINE AVE, SANTA CRUZ, CA 95060-1976
(831) 454-4170
(831) 454-4663

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A31380
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A313800
CA
01
A31380
MEDICAL LICENSE #
CA
01
ZZZ91891Z
MEDICARE GROUP ID#
CA
01
ZZZ91892Z
MEDICARE GROUP ID#
CA
01
ZZZ92069Z
MEDICARE GROUP ID#
CA
01
ZZZ92073Z
MEDICARE GROUP ID#
CA
Enumeration date
10/18/2006
Last updated
03/07/2023
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