Individual
DR. GREGORY BARTLETT KUGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 Q ST FL 1, SACRAMENTO, CA 95816-7058
(916) 733-3301
(916) 281-3882
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
(916) 379-2871
(916) 853-4730
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C54627
CA
2085R0202X
Diagnostic Radiology Physician
ME91437
FL
2085U0001X
Diagnostic Ultrasound Physician
ME91437
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270818300
—
FL
01
—
C54627
MEDICAL LICENSE
CA
Enumeration date
02/21/2006
Last updated
02/13/2020
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