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General NPI Number Information
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NPI Number | 1578598595
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Entity Type | Organization
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Legal Business Name | DELTA SIERRA MEDICAL GROUP, INC
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 500 HOSPITAL RD
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City | FRENCH CAMP
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State | CA
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Zip | 95231-0000
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Country | US
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Telephone | 209-473-6555
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Fax | 209-473-6544
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Provider Business Mailing Address
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Address Line | PO BOX 511805
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City | LOS ANGELES
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State | CA
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Zip | 90051-1800
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Country | US
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Telephone | 209-473-6555
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Fax | 209-473-6544
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Authorized Official
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Title or Position | MANAGER/MD
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Name | RAMESH DHARAWAT
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Credential | MD
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Telephone | 209-473-6555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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