Shobana Sampath Vankipuram MD

NPI 1063646651 - Family Medicine - 207Q00000X

NPI Details
NPI 1063646651
Gender Female
Enumeration Date 05/11/2009
Last Updated 09/18/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
4165 BLACKHAWK PLAZA CIR
SUITE 100
DANVILLE CA, 94506-4904, US
Phone (925) 736-7070
Fax
Business Location
4165 BLACKHAWK PLAZA CIR
SUITE 100
DANVILLE CA, 94506-4904, US
Phone (925) 736-7070
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Pennsylvania
License Number MT-193076
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According to our database, Dr. Shobana Sampath Vankipuram MD NPI is 1063646651, taxonomy code is 207Q00000X and license number is MT-193076, license state is located at Pennsylvania. Shobana Sampath Vankipuram MD physically located at 4165 Blackhawk Plaza Cir, Danville CA, 94506-4904. NPI Number Shobana Sampath Vankipuram MD has the Individual type.

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1063646651 NPI number is provided on an as is basis without warranty of any kind. 1063646651 is maintained by the National Plan & Provider Enumeration System. The contents of Shobana Sampath Vankipuram MD are for informational purposes only.