Individual
DATTANAND MELUKOTE SUDARSHANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4053 LONE TREE WAY STE 100, ANTIOCH, CA 94531-6210
(925) 776-7725
Mailing address
4053 LONE TREE WAY STE 100, ANTIOCH, CA 94531-6210
(925) 776-7725
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A177777
CA
Other
Enumeration date
04/08/2019
Last updated
06/20/2024
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