Individual
MS. AMRUTA BABURAO SHANBHAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
480 TESCONI CIR STE B, SANTA ROSA, CA 95401-4691
(707) 206-7268
Mailing address
480 TESCONI CIR STE B, SANTA ROSA, CA 95401-4691
(707) 206-7268
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
185428
CA
Other
Enumeration date
04/02/2019
Last updated
10/06/2023
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