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General NPI Number Information
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NPI Number | 1023908027
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Entity Type | Organization
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Legal Business Name | SAN DIEGO PSYCHIATRY, PC
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Dates
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Enumeration Date | 07/09/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 6647 ELEGANTE WAY
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City | SAN DIEGO
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State | CA
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Zip | 92130-5403
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Country | US
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Telephone | 858-247-1596
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Fax | 269-210-2542
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Provider Business Mailing Address
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Address Line | 6647 ELEGANTE WAY
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City | SAN DIEGO
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State | CA
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Zip | 92130-5403
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Country | US
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Telephone | 858-247-1596
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Fax | 269-210-2542
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | DR. MUKESH SANGHADIA
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Credential | MD
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Telephone | 858-247-1596
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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