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NPI Code Detail

MEDICARE: SADASHIV RAJADHYAKSHA M.D.

MEDICARE:   SADASHIV  RAJADHYAKSHA  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorA36544CA

General Provider Information

NPI Number : 1134102007
Entity Type Code : Individual
Provider Name (Legal Business Name) : SADASHIV RAJADHYAKSHA M.D.
Provider Business Mailing Address
First Line : PO BOX 4166
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92605-4166
Country : US
Telephone Number : 714-899-4005
Fax Number : 714-899-4275
Provider Business Practice Location Address
First Line : 21520 YORBA LINDA BLVD
Second Line : SUITE 410G
City : YORBA LINDA
State : CA
Zip : 92887-3762
Country : US
Telephone Number : 714-899-4005
Fax Number : 714-899-4275
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2005
Last Update Date : 07/08/2007

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Directions to “ SADASHIV RAJADHYAKSHA M.D.” Practice Location

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