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1600 Creekside Dr Ste 3200 Folsom CA 95630-3447 | |
| (916) 252-5000 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 1600 Creekside Dr Ste 3200, Folsom, California |
| Authorized Official Name and Position | Malathi Shanmugam (OWNER) |
| Authorized Official Contact | 2123006554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
407 Serpa Way Folsom CA 95630-6316 Ph: (646) 275-9999 | 1600 Creekside Dr Ste 3200 Folsom CA 95630-3447 Ph: (916) 252-5000 |
| NPI Number | 1659195766 |
|---|---|
| Provider Enumeration Date | 11/14/2024 |
| Last Update Date | 01/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659195766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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