Individual
DR. SHANKARLINGAM SAINATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.C.
Contact information
Practice address
11100 WARNER AVE, #268, FOUNTAIN VALLEY, CA 92708-7512
(714) 540-9911
(714) 549-9720
Mailing address
11100 WARNER AVE, #268, FOUNTAIN VALLEY, CA 92708-7512
(714) 540-9911
(714) 549-9720
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A25691
CA
207RC0000X
Cardiovascular Disease Physician
Primary
A25691
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912029901
GROUP NPI NUMBER
—
01
—
A25691
STATE ID#
CA
01
—
W1608
MEDICARE GROUP PTAN NUMBER
—
01
—
WA25691E
MEDICARE PTAN
CA
05
—
ZZZ71176Z
—
CA
Enumeration date
12/19/2006
Last updated
03/20/2012
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