Individual
PRIYANKA KADABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3883 AIRWAY DR, SANTA ROSA, CA 95403-1670
(707) 521-4480
(707) 521-4460
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(707) 521-4480
(707) 521-4460
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A176566
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A176566
STATE MEDICAL LICENSE
CA
Enumeration date
04/28/2016
Last updated
10/25/2022
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