Organization
DASARI MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PADMA DASARI M.D. (CEO)
(707) 421-2229
Entity
Organization
Contact information
Practice address
1620 PENNSYLVANIA AVE, D, FAIRFIELD, CA 94533-3551
(707) 421-2229
(707) 428-3764
Mailing address
1620 PENNSYLVANIA AVE, D, FAIRFIELD, CA 94533-3551
(707) 421-2229
(707) 428-3764
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A48000
CA
Other
Enumeration date
10/13/2009
Last updated
10/13/2009
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