Organization
SIERRA INFECTIOUS DISEASES A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH J KAILATH MD (PHYSICIAN)
(916) 536-1136
Entity
Organization
Contact information
Practice address
6614 MERCY CT, SUITE A, FAIR OAKS, CA 95628-3167
(916) 536-1136
(916) 536-1148
Mailing address
6614 MERCY CT, SUITE A, FAIR OAKS, CA 95628-3167
(916) 536-1136
(916) 536-1148
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A41552
CA
207RI0200X
Infectious Disease Physician
Primary
A41552
CA
Other
Enumeration date
08/25/2006
Last updated
11/26/2014
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