Individual
DR. ROGER EDWARD MENDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2725 CAPITOL AVE, SUITE 300, SACRAMENTO, CA 95816-6004
(916) 262-9370
(718) 262-9375
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
164935
NY
207RG0100X
Gastroenterology Physician
Primary
G83502
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01423138
—
NY
Enumeration date
08/04/2005
Last updated
07/28/2015
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