Healthcare Provider Details

I. General information

NPI: 1427166958
Provider Name (Legal Business Name): KATHRYN C AMIRIKIA, MD, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 02/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7501 HOSPITAL DR SUITE 305
SACRAMENTO CA
95823-5405
US

IV. Provider business mailing address

7501 HOSPITAL DR SUITE 305
SACRAMENTO CA
95823-5405
US

V. Phone/Fax

Practice location:
  • Phone: 916-423-2116
  • Fax: 916-689-1030
Mailing address:
  • Phone: 916-423-2116
  • Fax: 916-689-1030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License NumberG86919
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberG86919
License Number StateCA

VIII. Authorized Official

Name: DR. KATHRYN CAROLIN AMIRIKIA
Title or Position: PRESIDENT
Credential: MD, MS
Phone: 559-630-0305