Individual
DR. PRABHAS TUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 K ST, SUITE 200, SACRAMENTO, CA 95816-5120
(916) 733-5003
(916) 733-8290
Mailing address
2801 K ST, SUITE 200, SACRAMENTO, CA 95816-5120
(916) 733-5003
(916) 733-8290
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A31185
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A0031185
—
CA
Enumeration date
08/15/2006
Last updated
07/08/2007
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