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Organization

SUMMIT NEPHROLOGY MEDICAL GROUP, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ADARSH BHAT M.D. (C.O.O.)
(916) 789-1505
Entity
Organization

Contact information

Practice address
151 N SUNRISE AVE, STE. 1205, ROSEVILLE, CA 95661-2926
(916) 789-1505
(916) 789-1513
Mailing address
151 N SUNRISE AVE, STE. 1205, ROSEVILLE, CA 95661-2926
(916) 789-1505
(916) 789-1513

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
20A7602
CA
207RN0300X
Nephrology Physician
A107133
CA
207RN0300X
Nephrology Physician
Primary
A107520
CA
207RN0300X
Nephrology Physician
A117327
CA
207RN0300X
Nephrology Physician
A69494
CA
207RN0300X
Nephrology Physician
A72684
CA
207RN0300X
Nephrology Physician
A92471
CA
207RN0300X
Nephrology Physician
A92610
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0100970
CA
Enumeration date
11/15/2006
Last updated
04/09/2019
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