Organization
DIABETES AND ENDOCRINE SPECIALTIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUJATHA SRIKANTH M.D. (PHYSICIAN)
(559) 323-0294
Entity
Organization
Contact information
Practice address
7085 N CHESTNUT, SUITE 101, FRESNO, CA 93720-3841
(559) 323-9236
(559) 323-0294
Mailing address
7085 N CHESTNUT AVE STE 101, FRESNO, CA 93720-0353
(559) 323-9236
(559) 323-0294
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A79529
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A795290
—
CA
Enumeration date
03/28/2007
Last updated
12/16/2008
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