Shanu Kotak MD

NPI 1750469474 - Internal Medicine - 207R00000X

NPI Details
NPI 1750469474
Gender Female
Enumeration Date 11/01/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1600 EUREKA RD
ROSEVILLE CA, 95661-3027, US
Phone (916) 784-4000
Fax
Business Location
1800 HARRISON ST FL 7
OAKLAND CA, 94612-3429, US
Phone (510) 625-6262
Fax
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number A82984
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According to our database, Shanu Kotak MD NPI is 1750469474, taxonomy code is 207R00000X and license number is A82984, license state is located at California. Shanu Kotak MD physically located at 1600 Eureka Rd, Roseville CA, 95661-3027. NPI Number Shanu Kotak MD has the Individual type.

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1750469474 NPI number is provided on an as is basis without warranty of any kind. 1750469474 is maintained by the National Plan & Provider Enumeration System. The contents of Shanu Kotak MD are for informational purposes only.