Individual
SANJAY V KAMATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
548 SOUTH MARINE CORPS DRIVE, TAMUNING, GU 96913
(671) 646-5824
(671) 647-3546
Mailing address
P.O. BOX 6578, TAMUNING, GU 96931-6578
(671) 646-6956
(671) 647-3546
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
056577
GA
2085R0202X
Diagnostic Radiology Physician
Primary
43301
CT
2085R0202X
Diagnostic Radiology Physician
CI0007946
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3192598
—
MA
Enumeration date
07/13/2006
Last updated
12/23/2008
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