Iriani Sutanto-dang M.D.

NPI 1124226352 - Pediatrics - 208000000X

NPI Details
NPI 1124226352
Gender Female
Enumeration Date 07/10/2007
Last Updated 07/10/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
7677 OAKPORT ST STE 300
OAKLAND CA, 94621-1933, US
Phone (510) 383-1200
Fax
Business Location
7677 OAKPORT ST STE 300
OAKLAND CA, 94621-1933, US
Phone (510) 383-1200
Fax
Toxanomy
Taxonomy Code 208000000X
License State California
License Number G78054
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According to our database, Dr. Iriani Sutanto-dang M.D. NPI is 1124226352, taxonomy code is 208000000X and license number is G78054, license state is located at California. Iriani Sutanto-dang M.D. physically located at 7677 Oakport St Ste 300, Oakland CA, 94621-1933. NPI Number Iriani Sutanto-dang M.D. has the Individual type.

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1124226352 NPI number is provided on an as is basis without warranty of any kind. 1124226352 is maintained by the National Plan & Provider Enumeration System. The contents of Iriani Sutanto-dang M.D. are for informational purposes only.