Organization
CONSULTANTS MEDICAL GROUP
Active
Other names
Capital Hematology Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UMA H GOWDA M.D. (OWNER)
(916) 782-5106
Entity
Organization
Contact information
Practice address
TWO MEDICAL PLAZA, STE 200, ROSEVILLE, CA 95661
(916) 782-5106
(916) 783-4361
Mailing address
TWO MEDICAL PLAZA, STE 200, ROSEVILLE, CA 95661
(916) 782-5106
(916) 783-4361
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
A446140
CA
207RH0003X
Hematology & Oncology Physician
A776420
CA
207RH0003X
Hematology & Oncology Physician
G582580
CA
207RH0003X
Hematology & Oncology Physician
Primary
G654860
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A446140
UMA GOWDA, M D
CA
01
—
A776420
SIVAKUMAR REDDY, M D
CA
01
—
G582580
KRISTIE BOBOLIS, M D
CA
01
—
G654860
DONALD COLBOURN, M D
CA
01
—
ZZZ15630Z
MEDICARE PTAN
CA
Enumeration date
03/13/2007
Last updated
06/10/2013
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