Individual
DR. THIMMAIAH GANAPATHI THEETHIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
8120 TIMBERLAKE WAY STE 107, SACRAMENTO, CA 95823-5413
(916) 661-6000
(916) 661-6188
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A135528
CA
207RG0100X
Gastroenterology Physician
Primary
A135528
CA
Other
Enumeration date
08/08/2008
Last updated
01/13/2021
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