Organization
SUDIN VITTAL MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUDIN VITTAL MD (PRESIDENT)
(408) 926-2182
Entity
Organization
Contact information
Practice address
150 N JACKSON AVENUE, SUITE 107, SAN JOSE, CA 95116-1908
(408) 926-2182
(408) 926-8370
Mailing address
150 N JACKSON AVENUE, SUITE 107, SAN JOSE, CA 95116-1908
(408) 926-2182
(408) 926-8370
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A25286
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A252860
—
CA
Enumeration date
11/02/2006
Last updated
08/22/2020
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