Individual
DR. KUNDAI KELVIN TANGANYIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
15322 LAKESHORE DR STE 201, CLEARLAKE, CA 95422-9815
(707) 995-3764
(707) 994-1082
Mailing address
15322 LAKESHORE DR STE 201, CLEARLAKE, CA 95422-9815
(707) 995-3764
(707) 994-1082
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
66125
AZ
207RC0000X
Cardiovascular Disease Physician
Primary
A183306
CA
207RC0000X
Cardiovascular Disease Physician
DR.0059330
CO
Other
Enumeration date
04/09/2013
Last updated
08/13/2024
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