Organization
HAYWARD PEDIATRIC MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAVITHA RAJARAM MD (PHYSICIAN)
(510) 886-8854
Entity
Organization
Contact information
Practice address
21297 FOOTHILL BLVD STE 100, HAYWARD, CA 94541-1554
(510) 886-8854
(510) 886-6709
Mailing address
21297 FOOTHILL BLVD STE 100, HAYWARD, CA 94541-1554
(510) 886-8854
(510) 886-6709
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A31628
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326055963
—
CA
Enumeration date
03/18/2009
Last updated
06/25/2020
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