Individual
CALVIN T MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3161 L ST, SACRAMENTO, CA 95816-5234
(916) 646-8401
(916) 736-5533
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
13480
NV
2085R0202X
Diagnostic Radiology Physician
Primary
A111193
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467646026
—
NV
01
—
P00842443
RR MEDICARE
NV
Enumeration date
08/28/2007
Last updated
09/14/2018
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