Individual
MITHU S. MOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4150 V ST, SUITE 3400, SACRAMENTO, CA 95817-1460
(916) 734-7506
Mailing address
4150 V STREET, SUITE 3400, UC DAVIS MEDICAL CENTER, PSSB, SACRAMENTO, CA 95817
(916) 734-7506
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
A81343
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A813430
—
CA
Enumeration date
10/31/2006
Last updated
08/08/2008
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