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Individual

DR. MARK VELIMIR AVDALOVIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4150 V ST, SUITE 3400, SACRAMENTO, CA 95817-1460
(916) 734-3564
(916) 734-7924
Mailing address
4150 V ST, SUITE 3400, SACRAMENTO, CA 95817-1460
(916) 734-3564
(916) 734-7924

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
00A635080
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
00A635080
CA
207RP1001X
Pulmonary Disease Physician
Primary
00A635080
CA
208M00000X
Hospitalist Physician
00A635080
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A635080
MEDICAL LICENSE
CA
Enumeration date
12/05/2005
Last updated
09/29/2011
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