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Individual

DR. TARUN RUSTAGI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1100 VAN NESS AVE, SAN FRANCISCO, CA 94109-6978
(415) 600-1000
(415) 558-7051
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(415) 600-1000
(415) 558-7051

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9622696
CA
207RG0100X
Gastroenterology Physician
Primary
9622696
CA
207RG0100X
Gastroenterology Physician
MD2016-0322
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C177126
STATE MEDICAL LICENSE
CA
Enumeration date
09/17/2008
Last updated
07/15/2022
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