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Individual

GEETHANJALI SENNIMALAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6555 COYLE AVE, CARMICHAEL, CA 95608-0302
(916) 536-2500
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A85562
CA
208M00000X
Hospitalist Physician
Primary
A85562
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000810607403
PHCS
CA
01
106127
HEALTH NET
CA
01
1855727
GREAT WEST
CA
01
2237988
FIRST HEALTH
CA
01
236151
INTERPLAN
CA
01
2443787
UNITED HEALTHCARE
CA
01
2748371
CIGNA
CA
01
7943605
AETNA
CA
01
90141471
PACIFICARE
CA
01
A85562
BLUE CROSS
CA
01
MCMG343800
WESTERN HEALTH ADVANTAGE
CA
Enumeration date
09/29/2006
Last updated
02/13/2012
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