Individual
DR. JOHN T HATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8120 TIMBERLAKE WAY, STE 101, SACRAMENTO, CA 95823-5412
(916) 423-2124
(916) 423-2127
Mailing address
8120 TIMBERLAKE WAY, STE 101, SACRAMENTO, CA 95823-5412
(916) 423-2124
(916) 423-2127
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
00G279460
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G279460
—
CA
01
—
100002785
RAILROAD MEDICARE
CA
Enumeration date
02/16/2006
Last updated
12/05/2012
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