Healthcare Provider Details

I. General information

NPI: 1902497266
Provider Name (Legal Business Name): RUJJU CONSULTANTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2021
Last Update Date: 01/29/2021
Certification Date: 01/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5555 MONTGOMERY DR
SANTA ROSA CA
95409-8844
US

IV. Provider business mailing address

672 CHARDONNAY PL
WINDSOR CA
95492-6686
US

V. Phone/Fax

Practice location:
  • Phone: 707-538-8400
  • Fax:
Mailing address:
  • Phone: 858-282-3692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: SEEMA S RAO
Title or Position: MEDICAL DIRECTOR
Credential:
Phone: 732-890-3523