| Harold S. Budhram, Md, Inc. | |
|
5145 Shasta Dam Blvd Shasta Lake CA 96019-9403 | |
| (530) 275-5421 | |
| (530) 275-5156 |
| Full Name | Harold S. Budhram, Md, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 5145 Shasta Dam Blvd, Shasta Lake, California |
| Authorized Official Name and Position | Harold Shamnarine Budhram (PRESIDENT) |
| Authorized Official Contact | 5302755421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harold S. Budhram, Md, Inc. 5145 Shasta Dam Blvd Shasta Lake CA 96019-9403 Ph: (530) 275-5421 | Harold S. Budhram, Md, Inc. 5145 Shasta Dam Blvd Shasta Lake CA 96019-9403 Ph: (530) 275-5421 |
| NPI Number | 1346572468 |
|---|---|
| Provider Enumeration Date | 02/01/2010 |
| Last Update Date | 05/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346572468 | NPI | - | NPPES |
| RHM53954F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G319730 (California) | Primary |
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