Individual
MYLAPORE S NIRANJANKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2110 PROFESSIONAL DR, SUITE 120, ROSEVILLE, CA 95661-3752
(916) 536-2500
(916) 780-3904
Mailing address
2110 PROFESSIONAL DR, SUITE 120, ROSEVILLE, CA 95661-3752
(916) 536-2500
(916) 780-3904
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A117451
CA
208M00000X
Hospitalist Physician
Primary
002158
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02600824
—
NY
Enumeration date
03/14/2006
Last updated
01/14/2022
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