Individual
DR. MANOJ KUMAR POUDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-2011
Mailing address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
D98811
MD
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A173493
CA
Other
Enumeration date
04/13/2017
Last updated
12/04/2023
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