Individual
KATJA RUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6109 W RAMSEY ST, BANNING, CA 92220-3051
(951) 845-0313
Mailing address
PO BOX 10069, SAN BERNARDINO, CA 92423-0069
(909) 335-4188
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G77263
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
G77263
CA
207RP1001X
Pulmonary Disease Physician
Primary
G77263
CA
Other
Enumeration date
07/17/2006
Last updated
03/17/2018
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