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Individual

DR. KIRAN MUDAMBI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2516 STOCKTON BLVD, SACRAMENTO, CA 95817-2208
(650) 267-0562
Mailing address
1586 RESPONSE ROAD, APT 2087, SACRAMENTO, CA 95815
(650) 267-0562

Taxonomy

Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
MD60913136
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/17/2013
Last updated
09/05/2019
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