Organization
NATIVITY PEDIATRICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EULE NAGRAMPA BIYO M.D. (PRESIDENT)
(916) 817-6461
Entity
Organization
Contact information
Practice address
740 OAK AVENUE PKWY STE 145, FOLSOM, CA 95630-6815
(916) 817-6461
(916) 358-5297
Mailing address
740 OAK AVENUE PKWY STE 145, FOLSOM, CA 95630-6815
(916) 817-6461
(916) 358-5297
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0900010314
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851408090
INDIVIDUAL NPI
CA
Enumeration date
08/07/2008
Last updated
08/07/2008
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