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Individual

MR. SIVA P DOMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
870 SHASTA ST, SUITE 200, YUBA CITY, CA 95991-4117
(530) 671-3671
(530) 671-3980
Mailing address
870 SHASTA ST, SUITE 200, YUBA CITY, CA 95991-4117
(530) 671-3671
(530) 671-3980

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA07458700
NJ
207R00000X
Internal Medicine Physician
MD426397
PA
207RG0100X
Gastroenterology Physician
Primary
C54070
CA
207RG0100X
Gastroenterology Physician
DR.0071310
CO
207RG0100X
Gastroenterology Physician
MD426397
PA

Other

Enumeration date
07/08/2006
Last updated
11/13/2023
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