Individual
RAQUEL L DUDDERAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3000 Q ST FL 3, SACRAMENTO, CA 95816-7058
(916) 733-3400
(916) 733-5384
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
(916) 861-1486
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A122853
CA
207R00000X
Internal Medicine Physician
C1-9517
DE
208M00000X
Hospitalist Physician
Primary
A122853
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A122853
MEDICAL STATE LICENSE
CA
Enumeration date
10/01/2007
Last updated
03/16/2020
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