Individual
DR. KUPPE SHANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2221 STOCKTON BLVD, SUITEE 2112, SACRAMENTO, CA 95817-1418
(916) 734-3861
(916) 734-3066
Mailing address
3811 WINDING CREEK RD, SACRAMENTO, CA 95864-1660
(916) 734-3861
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A24526
CA
Other
Enumeration date
11/21/2005
Last updated
03/07/2023
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