Organization
PRAVEENA SARMA MD MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRAVEENA N SARMA MD (PRESIDENT)
(209) 833-0998
Entity
Organization
Contact information
Practice address
652 W 11TH ST STE 137, TRACY, CA 95376-3869
(209) 362-5539
(888) 228-7108
Mailing address
652 W 11TH ST STE 137, TRACY, CA 95376-3869
(209) 362-5539
(888) 228-7108
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A61533
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A615331
—
CA
Enumeration date
10/19/2006
Last updated
09/11/2025
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